Showing papers in "Urologic Clinics of North America in 2004"

TL;DR: The goals of the VIP technique are to cure cancer, preserve urinary continence, preserve potency, and decrease morbidity, along with the benefits of a minimally invasive surgery and excellent cosmesis.

TL;DR: Adverse sequelae associated with ureteroscopy should be related to the underlying pathology itself rather than to the treatment, and surgical misadventures still occur, some of which have lasting consequences.

TL;DR: Pediatric urologists specifically, and pediatric surgical practitioners in general, must be involved in the evolution of these techniques and devices to prevent having to adapt adult surgery-oriented systems to pediatric patients.

TL;DR: This approach, which is designed to minimize the time required for surgery, is a sandwich technique in which the cystectomy and the neobladder-urethral anastomosis are performed with robotic assistance and the urinary diversion is performed extracorporeally.

TL;DR: This article provides a foundation for clinicians willing to provide lifestyle change recommendations for the prevention of prostate cancer and more general and specific lifestyle recommendations will be provided in part II.

TL;DR: Hormonal and surgical treatment modalities are discussed herein, as well as the identification and prevention of long-term sequelae.

TL;DR: At present, no data suggest that bisphosphonates should be used routinely to prevent BMD loss in men with normal BMD or to prevent the development of bone metastases inMen with biochemical relapse.

TL;DR: The high-risk groups identified are too large for a specific early-screening program for RCC, but such screening might be appropriate if restricted to selected age groups, and should be disseminated to the general population.

TL;DR: The evaluation and medical management of pediatric stone disease is discussed, which is often more subtle in children when compared with the dramatic adult presentation.

TL;DR: The access sheath facilitates rapid, repeated, and atraumatic access to the upper tracts, but it also avoids back-loading over a superstiff guidewire, which may incur costly damage to the ureteroscope.

TL;DR: This article focuses on the epidemiology and pathogenesis of pediatric UTI, and briefly discusses UTI-related complications.

TL;DR: The basic applications of laparoscopic methods in pediatric urology are reviewed, including diagnostic and operative procedures, and the new horizons of robotic assistance for Laparoscopic surgery make highly accurate and efficient reconstructive procedures possible.

TL;DR: Adjuvant topical therapy with mitomycin C or BCG seems to be safe and well tolerated after endoscopic management of upper tract TCC.

TL;DR: The feasibility of using a remote-controlled robot to perform urologic procedures is established, especially for radical prostatectomy, and the European experience with robotic radical prostateCTomy is reviewed.

TL;DR: The proposed etiologies of such behavior in children in whom there are no anatomic or neuropathic causes are identified, the approach to evaluating affected children, and a stepwise, interdisciplinary approach to treatment are described.

TL;DR: An approach to the evaluation and management of hematuria in a child is provided, where many tests have been recommended and no consensus exists on a systematic evaluation.

TL;DR: The different surgical techniques, postoperative management, and complications, as well as the various implants used in the endoscopic correction of vesicoureteral reflux and their outcomes are reviewed.

TL;DR: As the shift in reimbursement occurs, parents who believe that circumcision is a medically necessary practice will need to be reassured that their child may lead a healthy life with an intact foreskin.

TL;DR: The results of the numerous trials evaluating stenting after uncomplicated ureteroscopy suggest that the routine placement of a stent is no longer necessary, but there is a subgroup of patients who would likely benefit from a stents as evidenced by the higher readmission to hospital rate than in nonstented patients.

TL;DR: This discussion focuses on the initial urologic care of infants with myelomeningocele, emphasizing the controversy regarding urodynamic versus radiologic-based management of the neurogenic bladder.

TL;DR: The authors give a general description on patient positioning, port placement, and installation of the robot with respect to the individual operations, followed by an explanation of important nuances, general principles, and caveats gained through experience.

TL;DR: Specific adjustments for performing extracorporeal shock wave lithotripsy, ureteroscopy, percutaneous nephrolithotomy, and cystolithotomy in children are discussed.

TL;DR: Small series of cases are emerging from various centers that indicate a strong role for robotics in the future of urology, surgery, and general medicine.

TL;DR: As surgical robots become increasingly available and used for a wider variety of procedures, the feasibility of robotic vasovasostomy becomes more realistic and vasoepididymostomy is likely.

TL;DR: It is hoped that prospective, randomized, long-term screening studies, such as the PLCO and ERSCP trials, will show improved survival using the admittedly imperfect PSA marker in prostate cancer screening.

TL;DR: Clinical features and treatment for prunebelly syndrome and posterior urethral valves are reviewed and a comprehensive approach to initial management aimed at optimal renal preservation and bladder rehabilitation is proposed.

TL;DR: Although the early clinical experience with robotic pyeloplasty is favorable, continuing clinical evaluation and careful follow-up are required to determine if the procedure is as efficacious in the long run as open pyelplasty and laparoscopic pyelopolasty.

TL;DR: The ureteroscope in combination with shock wave lithotripsy has transformed the diagnosis and treatment of more than 90% of upper urinary tract pathology from an open to an endourologic procedure.

TL;DR: Application of the technical advances learned in adults with tumors of the bladder, prostate, and testis, combined with an understanding of the difference in tumor biology, helps urologists improve the treatment of these tumors in children.

TL;DR: Obesity, recurrent urinary tract infections, increased intake of protein and fried foods, and female sex seem to increase the risk of renal cancer, and environmental toxins seem to be the major factors affecting the incidence of bladder cancers.