Showing papers in "Journal of Endourology Part B, Videourology in 2012"
TL;DR: Ureteroscopy (URS)-assisted retrograde nephrostomy (UARN) was reported as a new technique for percutaneous nephrolithotomy (PCNL) in 2011, and this institute performed more than 30 cases of UARN.
Abstract: Introduction: Lawson et al first developed retrograde nephrostomy in 1983.1 Hunter et al reported 30 cases of retrograde nephrostomy in 1985.2 Ureteroscopy (URS)-assisted retrograde nephrostomy (UARN) was reported as a new technique for percutaneous nephrolithotomy (PCNL) in 2011, and this institute performed more than 30 cases of UARN.3 This video presents the details of the UARN technique based on this experience. Materials and Methods: The patient is placed in the Galdakao-modified Valdivia position under general and epidural anesthesia.4 A ureteral access sheath (UAS) is inserted and a flexible ureteroscope (Flex-X2®; Karl Storz) is inserted through the UAS. The target calculi are carefully observed to identify the appropriate renal calyx to be punctured. A Lawson retrograde nephrostomy puncture wire (Lawson Retrograde Nephrostomy Wire Puncture Set; COOK Urological) is carefully set into the flexible URS. The flexible ureteroscope approaches the desired renal calyx again, and the route from t...
5 citations
TL;DR: The pediatric percutaneous nephrolithotripsy is not a frequently adopted procedure because of low incidence of stone disease in this age, but the endourological resolution is satisfactory.
Abstract: Introduction: The pediatric percutaneous nephrolithotripsy is not a frequently adopted procedure because of low incidence of stone disease in this age, but the endourological resolution is...
3 citations
TL;DR: Hemium laser enucleation of the prostate (HoLEP) is a novel surgical alternative for the treatment of bladder outlet obstruction caused by benign prostatic growth and is associated with less morbidity than conventional surgery.
Abstract: Introduction: Holmium laser enucleation of the prostate (HoLEP) is a novel surgical alternative for the treatment of bladder outlet obstruction (BOO) caused by benign prostatic growth. The results of randomized studies and case series have confirmed that HoLEP achieves immediate relief of BOO. The improvement in symptoms and flow parameters is maintained throughout the medium term and is associated with less morbidity than conventional surgery. However, the shortage of urologists with relevant experience and the approach's technical difficulty have limited its use. Materials and Methods: In this video, we describe in detail the technique that we use in our center to perform HoLEP. We describe our modifications to the surgical technique from the original description by Gilling,1 which are the results of our experience after more than 500 procedures.2 We emphasize the technical details that facilitate surgery and avoid complications. Results and Conclusions: HoLEP is a reproducible procedure that h...
2 citations
TL;DR: Long segment lower ureteral strictures may be reconstructed through creation of Boari flap Ureteroneocystostomy through laparoscopic approach, although conventionally performed through incisional approach.
Abstract: Introduction: Long segment lower ureteral strictures may be reconstructed through creation of Boari flap ureteroneocystostomy. Although conventionally performed through incisional approach...
1 citations
TL;DR: Major difficulties of sacral colpopexy are ileus and defecation difficulties caused by less space in the lower pelvis and the iliopectineal ligament has been used for this purpose.
Abstract: Introduction/Aims of Study: Major difficulties of sacral colpopexy are ileus and defecation difficulties caused by less space in the lower pelvis. The iliopectineal ligament has been used ...
1 citations
TL;DR: Surgical technical error is a modifiable cause of positive surgical margins (PSMs) for robot-assisted laparoscopic prostatectomy (RALP) and retrospective intraoperative video evidence supports this finding.
Abstract: Introduction: Surgical technical error is a modifiable cause of positive surgical margins (PSMs) for robot-assisted laparoscopic prostatectomy (RALP). Retrospective intraoperative video re...
1 citations
TL;DR: The step-by-step technique for intracorporeal JJ stent placement during robot-assisted pyeloplasty, pyelolithotomy, and upper, mid, and lower ureteral reconstructive surgeries is described.
Abstract: Introduction and Objective: One of the pertinent steps in many urologic reconstructive procedures is the placement of a stent across the repair With regard to upper urinary tract reconstr
1 citations
1 citations
TL;DR: Robotic surgery has revolutionized the field of urology, and it is now being employed in renal surgery, kidney surgery, and gynecological oncology.
Abstract: Introduction: Robotic surgery has revolutionized the field of urology. The use of robotics in urology is not limited to prostate surgery, and it is now being employed in renal surgery, rec...
1 citations
TL;DR: A 10-minute video of robot- assisted laparoscopic Studer pouch formation (RASP) after robot-assisted Laparoscopic radical cystoprostatectomy is presented.
Abstract: Introduction: We present a 10-minute video of robot-assisted laparoscopic Studer pouch formation (RASP) after robot-assisted laparoscopic radical cystoprostatectomy. Materials and Methods:...
1 citations
TL;DR: The main drawback of robotic approach is the lack of tactile feedback, and this paper aims to address this problem by providing real-time tactile feedback during robot-assisted reconstructive urology procedures.
Abstract: Introduction: Robot-assisted reconstructive urological procedures have expanded rapidly due to its obvious advantages. The main drawback of robotic approach is the lack of tactile feedback...
TL;DR: Adrenalectomy through laparoscopic approach (LA) has been appraised for excellent morbidity profile and in comparison to laparoscope total adrenalectomies, Laparoscopic partia...
Abstract: Introduction: Adrenalectomy through laparoscopic approach (LA) has been appraised for excellent morbidity profile.1 In comparison to laparoscopic total adrenalectomies, laparoscopic partia...
TL;DR: This work reviewed the experience in laparoscopic management of vena caval injury and demonstrated a case of robot-assisted repair in a video and reviewed all cases of Laparoscopic renal and adrenal surgery performed by a single surgeon from 2002 to 2011.
Abstract: Introduction: Vena caval injury is a rare but serious intraoperative complication that may occur during laparoscopic urologic surgery.1 Traditional teaching would suggest emergency laparot...
TL;DR: Robot-assisted partial nephrectomy has emerged as a viable alternative to open surgery for small renal tumors in selected patients and the role of RAPN in the treatment of these patients is still unclear.
Abstract: Introduction: Robot-assisted partial nephrectomy (RAPN) has emerged as a viable alternative to open surgery for small renal tumors in selected patients.1 However, the role of RAPN in the t...
TL;DR: The pelviureteric junction obstruction has been performed by incisional, endourologic, or laparoscopic approaches, and the current work is the first to demonstrate direct visualization-based reconstruction of the junction.
Abstract: Introduction: Definitive reconstruction of pelviureteric junction obstruction has been performed by incisional, endourologic, or laparoscopic approaches.1,2 Among these, laparoscopic appro...
TL;DR: The 7-minute video describes the current technique for LP that involves several facilitating steps performed on the externalized ureter that can significantly simplify LP, shorten operative time, and make it a more attractive procedure.
Abstract: Introduction: Laparoscopic pyeloplasty (LP) remains a technically challenging procedure with few changes made during the past decade. The 7-minute video describes our current technique for...
TL;DR: A 5-minute 43-second video of laparoscopic bladder diverticulectomy for paraureteric diverticula in a 2-year-old boy is presented.
Abstract: Introduction: Paraureteric diverticulum results from protrusion of mucosa through the detrusor muscle fibers at the ureteric hiatus and demands attention in view of recurrent urinary infection, ureteral obstruction, bladder outlet obstruction, or vesicoureteral reflux. Among the various treatment modalities, laparoscopic approach has been appraised for excellent morbidity profile. Only limited cases of laparoscopic bladder diverticulectomy have been reported thus far.1 We present a 5-minute 43-second video of laparoscopic bladder diverticulectomy for paraureteric diverticula in a 2-year-old boy. Methods: Patients were selected after detailed evaluation, including presenting complaints, clinical parameters, and blood profile. The imaging protocol included ultrasonogram (USG), voiding cystourethrogram (VCUG), computed tomogram urography, or magnetic resonance urogram. Renogram was performed to ensure salvagability of the pathological renal unit. Preoperative cystoscopy was performed in all cases. P...
TL;DR: Testicular cancer is the most common malignancy in young men and for clinical stage 1 and 2, nonseminomatous germ cell tumor robot-assisted laparoscopic retroperitoneal lymph lymphoma is a major concern.
Abstract: Introduction: Testicular cancer is the most common malignancy in young men.1 For clinical stage 1 and 2, nonseminomatous germ cell tumor robot-assisted laparoscopic retroperitoneal lymph n...
TL;DR: Laroscopic radical nephrectomy is presented for management of renal neoplasms in challenging scenarios (lesions with a longitudinal diameter >10 cm, lesions with venous thrombi, and advanced renal malignancy with hilar lymph node mass).
Abstract: Introduction: Laparoscopic radical nephrectomy has been an established procedure for dealing with organ-confined renal malignancies.1 We present a video demonstration of this exercise for ...
TL;DR: A video demonstration of laparoscopic renal transplantation is presented and the merits and demerits of this procedure are discussed.
Abstract: Introduction: Laparoscopic donor nephrectomy has gained popularity because of its excellent morbidity profile and appreciable outcome. However, laparoscopic approach for renal transplantat...
TL;DR: Reduced triangulation and instrument collision remain obstacles to widespread clinical adoption of laparoendoscopic single-site (LESS) surgery.
Abstract: Introduction and Objectives: Reduced triangulation and instrument collision remain obstacles to widespread clinical adoption of laparoendoscopic single-site (LESS) surgery.1 Our aim was to...
TL;DR: A video of the three-trocar technique step by step, with several tips and tricks to improve the performance is presented, with special caution to avoid incorporating the bowel into the retraction devices.
Abstract: Introduction: Laparoscopic pyeloplasty (LP) is the first-line option for management of ureteropelvic junction obstruction (UPJO).1,2 Initially, this procedure was described using four or five ports; however, newer approaches use three-trocars aiming for minimal invasion,3,4 which may complicate the procedure. We present a video of the three-trocar technique step by step, with several tips and tricks to improve the performance. Patients and Methods: Seven patients (mean 44 years old range: 31–58) underwent Anderson-Hynes three-trocar LP for symptomatic UPJO. The three-port transperitoneal technique was done. A 10-mm trocar was placed directly through the umbilicus and two 5-mm trocars in a triangular arrangement. To improve exposure of the UPJ and reduce the dissection time, the surrounding tissues may be retracted with clips or sutures applying the puppet maneuver, with special caution to avoid incorporating the bowel into the retraction devices. The proximal ureter may be lifted with similar man...
TL;DR: Ureterals rehabilitation after iatrogenic ureteral insult poses dual challenges—satisfactory restoration of ureTERal continuity and limiting the procedural morbidity.
Abstract: Introduction: Ureteral rehabilitation after iatrogenic ureteral insult poses dual challenges—satisfactory restoration of ureteral continuity and limiting the procedural morbidity. In cases...
TL;DR: A video demonstration of the technique of laparoscopic heminephrectomy without separate calicorrhaphy is presented, which is commonly used in nephron-sparing surgery for management of different renal pathologies.
Abstract: Introduction: Laparoscopic nephron-sparing surgery has been practiced for management of different renal pathologies.1 Pelvicaliceal disruptions encountered during this exercise have been c...
TL;DR: Posterior upper-pole renal masses are arguably among the most challenging to address in a minimally invasive fashion and this work presents a new technique to address these masses.
Abstract: Introduction: Posterior upper-pole renal masses are arguably among the most challenging to address in a minimally invasive fashion.1 In the accompanying video, we demonstrate our technique...