Showing papers in "Journal of Endourology Part B, Videourology in 2010"
TL;DR: Functional muscular units including sphincter systems and longitudinal urethral muscles are defined including spHincteric system of the urethra, comprising an inner smooth muscular layer and an outer striated muscular layer.
Abstract: Until now, anatomy of the lower urinary tract still persists for controversial discussion. Especially, the basis of the continence mechanism is still obscure. On the basis of our own exten...
34 citations
7 citations
4 citations
TL;DR: To decrease operative morbidity, transabdominal transvesical vesicovaginal fistula repair has become the standard treatment of difficult vesico-vaginal fistulae and is recommended for use in patients with high-risk of fistula prolapse.
Abstract: Background and Purpose: Transabdominal transvesical vesicovaginal fistula repair has become the standard treatment of difficult vesicovaginal fistulae. To decrease operative morbidity, tra...
2 citations
TL;DR: The latest tips and tricks for flexible nephroscopy are described, including use of flexible graspers and baskets, use of the Accordian device to prevent stone migration, and use of a Perc-n-Circle device.
Abstract: This video describes the latest tips and tricks for flexible nephroscopy. Among the techniques discussed include use of flexible graspers and baskets, use of the Accordian device to preven...
1 citations
1 citations
TL;DR: The experience of pure robotic nephro-ureterectomy with a novel port placement allowing for single robotic docking is shared, integral to successful performance of the procedure without need for redocking of the robot.
Abstract: Introduction: The standard treatment for upper tract transistional cell carcinoma is radical nephro-ureterectomy with bladder cuff excision. Here we share our experience of pure robotic nephro-ureterectomy with a novel port placement allowing for single robotic docking. Methods: Port placement is integral to successful performance of the procedure without need for redocking of the robot. The patient is placed in a modified flank position at approximately 60 degrees. The port placement begins with a 12-mm camera placed 3 cm lateral to the umbilicus, off the rectus muscle. The first robotic arm port is placed lateral to the rectus muscle 7 cm cranial to the camera port. The second 8-mm port is placed 7 cm lateral to the camera. In a left-sided tumor, these two ports will serve as the left and right arm for managing the kidney, respectively. The fourth robotic 8-mm port is placed in the midline 8 cm caudal to the umbilicus. The lateral port and midline port will serve as left and right arms in manag...
1 citations
TL;DR: Different positions of undescended abdominal testis are shown using the simple, safe, and sure diagnostic method of laparoscopy using a historical video of an important urological procedure.
Abstract: Different positions of undescended abdominal testis are shown using the simple, safe, and sure diagnostic method of laparoscopy. This is an historical video of an important urological proc...
1 citations
TL;DR: The transmesenteric approach for robot-assisted laparoscopic pyeloplasties, which provides direct access to the pelvis without mobilization of the colon, is described.
Abstract: Introduction: Robot-assisted laparoscopic pyeloplasty is an emerging minimally invasive option in the pediatric population for the treatment of ureteropelvic junction obstruction. Since th...
1 citations
TL;DR: With increased use of laparoscopy in urologic surgery, the reported rate of complications involving adjacent organ injury is as high as 4%.1 Early recognition and a systemati...
Abstract: Introduction: With increased use of laparoscopy in urologic surgery, the reported rate of complications involving adjacent organ injury is as high as 4%.1 Early recognition and a systemati...
TL;DR: This work illustrated the technique in this 7-min video with three cases performed by a community urologist with no fellowship training, and found the technique optimizes motion of the robotic arms and decreases collisions.
Abstract: Introduction: Robot-assisted partial nephrectomy is one of the fastest growing robotic procedures. It was quickly adopted by urologists with many different training levels as a minimally invasive alternative to open nephrectomy. 1 Larger tumors in more difficult locations are increasingly done.2 The technique of placing the robotic camera lateral to the robotic arms is useful for tumors in posterior locations. This port placement also optimizes motion of the robotic arms and decreases collisions.3 Most current published series come from large academic institutions,4 and little has been published from the community setting. We illustrated the technique in this 7-min video with three cases performed by a community urologist with no fellowship training. Methods: The technique of placing the robotic camera lateral to the robotic arms is usually performed at our institution when approaching tumors in posterior locations. The robotic camera is placed 3 fingerbreadths from the costal margin, in between ...
TL;DR: The novel use of human cadaveric pericardium as a bolster for buttressed horizontal mattress suture closure after partial nephrectomy for renal cell carcinoma is demonstrated.
Abstract: Introduction: Open partial nephrectomy for appropriately selected renal parenchymal tumors results in equivalent oncologic outcomes with less morbidity than radical nephrectomy.1 While bol...
TL;DR: Bilateral modified inguinal lymphadenectomy is performed at the same time of penectomy and does not increase the complication rate and causes a lower complication rate than complete inguinalsymphadenectomy.
Abstract: The video illustrates the technique of modified inguinal lymphadenectomy for the treatment of penile cancer Technique: A 5 cm skin incision was made, 2 cm below the inguinal arcade, along the femoral vessels The adipose and lymphatic tissues below the Scarpa's fascia were resected en bloc, with the adductor longus muscle as the medial border, the medial surface of the femoral and saphenous veins as the lateral border, and the inguinal arcade as the superior border, performing a triangle Frozen-section analysis of lymph nodes was performed; if metastases were absent, the procedure was concluded and a suction closed drain was maintained for at least 5 days If metastases were detected, an ipsilateral complete inguinal lymphadenectomy was performed Modified inguinal lymphadenectomy causes a lower complication rate than complete inguinal lymphadenectomyBilateral modified inguinal lymphadenectomy is performed at the same time of penectomy and does not increase the complication rate When frozen-s
TL;DR: It is demonstrated that two of these techniques, the metal telescoping dilation and the balloon dilation, show no significant difference in morbidity related to the dilation procedure in a retrospective outcome analysis in a contemporary series of two European departments.
Abstract: Proper establishment of the percutaneous tract is the most important step in percutaneous nephrolithotomy. The tract dilation is a crucial part of this procedure and can be performed with ...
TL;DR: The experience with robotic partial nephrectomy (RPN) in patients with renal insufficiency is presented and tips and tricks to minimize warm ischemia time (WIT) and preserve renal function are presented.
Abstract: Introduction: We present our experience with robotic partial nephrectomy (RPN) in patients with renal insufficiency and present tips and tricks to minimize warm ischemia time (WIT) and pre...
TL;DR: The aim of this video is to describe four alternatives for early ligature of the renal artery during transperitoneal laparoscopic radical nephrectomy.
TL;DR: Laroscopic nephrectomy was done to five cases of atrophic kidneys caused by serious infectious episodes, all women, and three cases were treated by antibiotics alone.
Abstract: Introduction: Laparoscopic nephrectomy is sometimes difficult because of large renal mass, vascular anomalies, or severe adhesion. Urinary tract infection usually leads wide adhesion from serious inflammatory reaction around renal parenchyma, which often involves renal vessels and adjacent organs. However, atrophic kidney occasionally must be removed in some situations. For example, repeated episodes with atrophic parenchyma or low-volume urine drainage from the nephrostomy tube placed for the treatment of pyohydronephrosis would be an inevitable reason to decide the removal of atrophic kidney. Some investigators recommend choosing indications prudently for laparoscopic surgery because of the surgical difficulties, whereas others try laparoscopic approach at first for postoperative quality of life.1–3 Materials and Methods: Laparoscopic nephrectomy was done to five cases of atrophic kidneys caused by serious infectious episodes. Cases are all women. Two cases were treated by antibiotics alone and...
TL;DR: This video illustrates the technique of laparoscopic orchiopexy (LO) for low intraperitoneal impalpable testis and a new internal ring is created medial to the obliterated umbilical artery and between it and the bladder.
Abstract: Introduction: This video illustrates the technique of laparoscopic orchiopexy (LO) for low intraperitoneal impalpable testis. Patients and Methods: In all 86 patients underwent diagnostic laparoscopy (DL) (mean age 5 years, range 1–12) for clinically impalpable undescended testes during the study period (2004–2008). Diagnostic laparoscopy is then performed. A 5-mm trocar is inserted under direct vision using open trocar (Hasson) technique. Division of gubernacular attachment at the ring was done firstly helped by gentle traction on the testis. Dissection of the peritoneum begins medially over the bladder and then down the pelvic wall along the spermatic vessels. Delivery of the Testis: Using (Printess) technique or medialization of the spermatic vessels, a new internal ring is created medial to the obliterated umbilical artery and between it and the bladder.6 We used little finger to dilate the tract and to guide delivery of the testis with the artery forceps. This simple maneuver greatly helped ...
TL;DR: Laparoscopic retroperitoneal lymph node dissection (LRPLND) has become an accepted staging method for clinical stage I nonseminomatous germ cell testicular tumor.
Abstract: Introduction: Laparoscopic retroperitoneal lymph node dissection (LRPLND) has become an accepted staging method for clinical stage I nonseminomatous germ cell testicular tumor.1,2 As a res...
TL;DR: The use of the argon plasma coagulator (APC) has been well documented in the endoscopic treatment of radiation-induced proctitis and here the experience with the APC is presented.
Abstract: Introduction: The use of the argon plasma coagulator (APC) has been well documented in the endoscopic treatment of radiation-induced proctitis. Here we present our experience with the appl...
TL;DR: An operative video is presented of a patient with right-sided retrocaval ureter for which a laparoscopic Ureteroureterostomy was performed and an “S” or “fishhook” deformity of the ureters was shown.
Abstract: Introduction: Retrocaval ureter is a rare congenital anomaly occurring in 1 in 1500 people. It is a condition in which the ureter deviates medially and passes behind the inferior vena cava...
TL;DR: Proper establishment of the percutaneous tract is the most important step in per cutaneous nephrolithotomy and can be performed with or without invasive surgery.
Abstract: Proper establishment of the percutaneous tract is the most important step in percutaneous nephrolithotomy. The tract dilation is a crucial part of this procedure and can be performed with ...
TL;DR: Primary obstructive megaureter is characterized by an intrinsic congenital obstruction at the lower 1–2 cm of the ureter just before it enters the bladder.
Abstract: Introduction: Primary obstructive megaureter is characterized by an intrinsic congenital obstruction at the lower 1–2 cm of the ureter just before it enters the bladder. In adults it can b...