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Assessing Decision Regret in Patients with Same-Day Discharge Pathway After Robot-Assisted Radical Prostatectomy. J. Endourol. (IF 2.7) Pub Date : 2023-11-30 Narmina Khanmammadova,Mohammed Shahait,Tuan Thanh Nguyen,Jacob Basilius,Sohrab Naushad Ali,Joshua Tran,Rafael Gevorkyan,Catherine Fung,Thomas E Ahlering,David I Lee
Introduction: After the introduction of same-day discharge (SDD) pathways for various surgeries, these pathways have demonstrated comparable complication rates and a reduced overall cost of care. Outpatient robot-assisted radical prostatectomy (RARP) is introduced in high-volume centers; however, patients' perspectives on the SDD RARP protocol are not well understood. Materials and Methods: A questionnaire
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Perioperative outcomes of same-session bilateral versus unilateral ureteroscopy for stone removal: Results from the GRAND study. J. Endourol. (IF 2.7) Pub Date : 2023-11-29 Nikolaos Pyrgidis,Michael Chaloupka,Benedikt Ebner,Christian Stief,Philipp Weinhold,Julian Marcon,Gerald Bastian Schulz
BACKGROUND Same-session bilateral ureteroscopy may reduce the number of surgeries for stone removal but can lead to higher overall complication rates. We aimed to compare same-session bilateral ureteroscopy with unilateral ureteroscopy in terms of perioperative outcomes. METHODS We used the GeRmAn Nationwide inpatient Data (GRAND), provided by the Research Data Center of the Federal Bureau of Statistics
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Non-opioid pain management pathways for stone disease. J. Endourol. (IF 2.7) Pub Date : 2023-11-27 Jackson Cabo,Nicole Miller
INTRODUCTION New opioid dependency following urologic surgery is a serious adverse outcome that is well-described in the literature. Patients with stone disease often require multiple procedures due to recurrence of disease and hence are at greater risk for repeat opioid exposures. Despite this, opioid prescribing following urologic surgery remains highly variable and in an emergency setting, opioids
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Comparison of percutaneous renal access between robot-assisted fluoroscopy guidance using the bi-plane method and ultrasound guidance: A multicenter randomized control benchtop study. J. Endourol. (IF 2.7) Pub Date : 2023-11-27 Teruaki Sugino,Kazumi Taguchi,Koei Torii,Masahiko Isogai,Kengo Kawase,Ryusuke Deguchi,Shimpei Yamashita,Rei Unno,Shuzo Hamamoto,Atsushi Okada,Isao Hara,Takahiro Yasui
PURPOSE To evaluate the efficacy of supine percutaneous renal access by robot-assisted (RA) fluoroscopy and ultrasound (US) guidance in terms of procedural outcomes and surgeon workload. METHODS We conducted a multicenter, randomized, controlled benchtop study involving 32 urologists using a renal phantom model. RA puncture was performed using the developed version of automated needle targeting with
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Peritoneal Interposition Flap: An Updated Meta-Analysis of Six Randomized Controlled Trials Revealing Consistent Reduction of Symptomatic Lymphoceles Following Robot-Assisted Radical Prostatectomy and Pelvic Lymph Node Dissection. J. Endourol. (IF 2.7) Pub Date : 2023-11-27 Matthias May,Simon Gloger,Ingmar Wolff
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Reuse of Single-Use Devices in Endourology: A Review. J. Endourol. (IF 2.7) Pub Date : 2023-11-21 Rudra Prasad Ghorai,Rajeev Kumar
Introduction: Single-use medical devices (SUDs) are labeled for single use only, but rising health care costs along with the absence of visible deterioration in the quality of SUDs after one use have led to their reprocessing and reuse. In the past, SUDs mainly consisted of equipment such as guidewires and catheters. However, SUDs have now expanded to flexible endoscopes and energy devices that are
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Predictive modelling of urinary stone composition using machine learning and clinical data: implications for treatment strategies and pathophysiological insights. J. Endourol. (IF 2.7) Pub Date : 2023-11-17 John Antonio Chmiel,Gerrit Alojzi Stuivenberg,Jennifer Wong,Linda Nott,Jeremy Burton,Hassan Razvi,Jennifer Bjazevic
PURPOSE Preventative strategies and surgical treatment for urolithiasis depend on stone composition. However, stone composition is often unknown until the stone is passed or surgically managed. Given that stone composition likely reflects the physiological parameters during its formation, we used clinical data from stone formers to predict stone composition. MATERIAL AND METHODS Stone composition,
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Creation of a Novel, Race-Adjusted, and Risk-Adapted Scoring System to Predict Positive Surgical Margins and Prolonged Operative Time During Robotic Radical Prostatectomy. J. Endourol. (IF 2.7) Pub Date : 2023-11-17 Parth Udayan Thakker,Ashok Kumar Hemal,Laura Geldmaker,Colleen Ball,Raymond Pak,Timothy Lyon,Ram Anil Pathak
Objectives: To compare racial differences and pelvis dimensions between Caucasians and African Americans (AAs) and to develop a risk calculator and scoring system to predict the risk of prolonged operative time and presence of positive surgical margins (PSM) based on these dimensions. Materials and Methods: A retrospective review of 88 consecutive patients undergoing robot-assisted laparoscopic prostatectomy
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COMPARISON OF TWO CENTERS' EXPERIENCE IN PEDIATRIC SUPINE AND PRONE MINIATURIZED PERCUTANEOUS NEPHROLITHOTOMY WITH PROPENSITY MATCH ANALYSIS. J. Endourol. (IF 2.7) Pub Date : 2023-11-14 Ali Sezer,Bilge Turedi,Rasim Guzel,Bilal Eryildirim,Kemal Sarica
Introduction Percutaneous nephrolithotomy (PNL) is the treatment of choice in children with complex and large stones. With the experience gained from adult practice, supine PNL is increasingly performed in children as well. We aimed to evaluate the comparative results of prone and supine mini-PNL (m-PNL) performed for large/complex stones in children. Patients and methods The study included children
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Prospective Randomised Controlled Trial to compare dusting versus fragmentation using Thulium Fiber Laser in Retrograde Intrarenal Surgery. J. Endourol. (IF 2.7) Pub Date : 2023-11-11 Niramya Pathak,Nishanth Gowda,Abhishek Singh,Victor Coelho,Nitiraj Shete,Arvind Ganpule,R B Sabnis,Mahesh Desai
Objective To compare the dusting versus fragmentation modes with Thulium fibre laser (TFL) in Retrograde Intrarenal Surgery (RIRS) for upper tract stones using the same fixed low power settings in both the arms. Primary objective was to compare stone free rate and secondary objectives were to compare mean operating times, hospital stay duration, complication rates, need for secondary procedures, laser
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Patient Safety and Quality Improvement in Minimally Invasive Surgery. J. Endourol. (IF 2.7) Pub Date : 2023-11-11 Andrew Mitchell Harris,Isabelle R Lewis,Timothy D Averch
BACKGROUND The journey of minimally invasive (MI) urology is one of quality improvement and patient safety. New techniques have been progressively studied for adoption and growth. As more advanced methods of data collection and analysis are developed, a review of the patterns and history of these principles in the development of minimally invasive urology can inform future urological QI and patient
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An Updated Systematic Review and Meta-Analysis on the Technical, Oncologic, and Safety Outcomes of Microwave Ablation in Patients with Renal Cell Carcinoma. J. Endourol. (IF 2.7) Pub Date : 2023-11-10 Jeremy Wu,Samir Sami,Katherine Lajkosz,Teruko Kishibe,Michael Ordon
Introduction: Percutaneous microwave ablation (MWA) has emerged as a new energy modality for percutaneous renal tumor ablation with potential advantages over radiofrequency and cryoablation. The goal of our study was to determine MWA outcomes for suspicious renal masses, with a subset analysis for biopsy-proven renal cell carcinoma (RCC) and larger (T1b) tumors. Methods: Studies reporting outcomes
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Radiological Density, Atomic Numbers and Stone Fragmentation of Bego Stones Used for Research on Endourology. Comparison to Real Urinary Stones. J. Endourol. (IF 2.7) Pub Date : 2023-11-07 Begoña Ballesta Martinez,Daniel Savio Magee,Arman Tsaturyan,Vasileios Tatanis,Angelis Peteinaris,Clare Tancabel,Matthew Chau,Steven Martin Van Der Werf,Manmeet Sigh Saluja,Ivan Aw,Yuigi Yuminaga,Mikhail Evanjevic Lozinskiy,Melanie Rosenberg,Sunny King-Shung Lee,Evangelos N Liatsikos,Panagiotis Kallidonis
OBJECTIVE The aim of the study was to characterize artificial stones which are used for research in endourology from the perspective of radiological properties and hardness in terms of stone fragmentation, and to compare them to real stones from those assessments. MATERIALS AND METHODS We built artificial stones from BegoStone Plus powder (BEGO Lincoln, RI, USA) with powder(grams): water(ml) ratios
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Factors affecting holmium laser efficiency: Comparison of laryngeal mask airway and endotracheal intubation during ureteroscopy for renal stones. J. Endourol. (IF 2.7) Pub Date : 2023-11-07 David G Gelikman,Kristen R Ibanez,Amy M Reed,Ryan Hsi,Naren Nimmagadda,Nicole Miller
INTRODUCTION Holmium laser lithotripsy is a standard energy source used for treatment of kidney stones during flexible ureteroscopy. Efficiency of laser surgery may be affected by patient and operator characteristics or perioperative management. Here, we sought to examine intraoperative data from patients undergoing high frequency dusting with high-powered holmium laser lithotripsy to evaluate surgical
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Comparison of a Valveless Trocar System and Conventional Insufflation in Pediatric Urologic Surgery. J. Endourol. (IF 2.7) Pub Date : 2023-11-07 Austin L Chien,Sai Krishnaraya Doppalapudi,John L Pfail,Grace Lee,Mark Mikhail,Brittany Ahuja,Emmanuel Tadjou Tito,Usman Shah,Joseph Barone,Haris Ahmed,Sammy Elsamra
Background: Conventional operative insufflation uses a one-way trocar to handle instruments while maintaining pneumoperitoneum. In 2007, the AirSeal® valveless trocar insufflation system was introduced, which maintains stable pneumoperitoneum while continuously evacuating smoke. Although this device has been validated in adult patients, it has not been extensively validated in the pediatric population
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Which Laser System Is Optimal for Cystolithotripsy of Large Bladder Calculi? J. Endourol. (IF 2.7) Pub Date : 2023-11-01 Mohammad Hajiha,Ala'a Farkouh,Akin S Amasyali,Matthew I Buell,Rose Leu,Jason Groegler,John Smith,Arthur Goyne,D Daniel Baldwin,Reihaneh Moghisi,D Duane Baldwin
Introduction and Objective: A variety of laser sources are available to treat bladder stones. The aim of this study was to compare time and cost efficiency of the thulium fiber laser (TFL) to four holmium lasers (HLs) with different powers or technologies, including MOSES™ during simulated cystolithotripsy. Materials and Methods: In a benchtop simulation of laser cystolithotripsy, 25 identical 4-cm
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Perceptions and Practice Patterns of Urologists Relating to Intrarenal Pressure During Ureteroscopy: Findings from a Global Cross-Sectional Analysis. J. Endourol. (IF 2.7) Pub Date : 2023-11-01 Stefanie M Croghan,Bhaskar K Somani,Shane W Considine,Kieran J Breen,Barry B McGuire,Rustom P Manecksha,Vineet Gauhar,B M Zeeshan Hameed,Sorcha O'Meara,Esteban Emiliani,Ana María Autrán Gomez,Deepak Agarwal,Emre Şener,Fergal J O'Brien,Necole M Streeper,Christian Seitz,Niall F Davis
Objectives: To explore beliefs and practice patterns of urologists regarding intrarenal pressure (IRP) during ureteroscopy (URS). Methods: A customized questionnaire was designed in a 4-step iterative process incorporating a systematic review of the literature and critical analysis of topics/questions by six endourologists. The 19-item questionnaire interrogated perceptions, practice patterns, and
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Intrarenal Pressure Measured Using a Novel Flexible Ureteroscope with Pressure Sensing Capabilities: A Study of the Effects of Ureteral Access Sheath, Irrigation, and Working Channel Accessories. J. Endourol. (IF 2.7) Pub Date : 2023-11-01 Ben H Chew,Nabil Shalabi,Roman Herout,Alina Reicherz,K F Victor Wong,Kyle Searles,Naeem Bhojani
Introduction: Intrarenal pressure is emerging as an important monitoring parameter during flexible ureteroscopy (fURS). We measure how intraoperative conditions affect intrarenal pressure using a novel pressure sensing ureteroscope. Methods: The LithoVue Elite (LVE) single-use digital flexible ureteroscope (Boston Scientific) is the first commercial ureteroscope that senses pressure at its tip. LVE
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Omnidirectional (Flexible) Ureteral Access Sheath: Safety, Efficacy, and Initial Experience Report. J. Endourol. (IF 2.7) Pub Date : 2023-11-01 Jie Ding,Tingting Su,Xiangmin Zhang,Subo Qian,Liujian Duan,Yunteng Huang,Jian Chu,Lin Zhang,Jianwei Cao,Xingang Cui
Background: Recently a novel omnidirectional (OD) ureteral access sheath (UAS) has been developed. By retrospectively reviewing and comparing the flexible ureteroscopic lithotripsy (FURL) cases in our institution with either a conventional Cook UAS or an OD UAS in the past year, we shared our experience of the safety, efficacy, and relevant issues on the usage of OD UAS. Materials and Methods: The
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Robot-Assisted Repair of Ureteroenteric Strictures After Cystectomy with Urinary Diversion: Technique Description and Outcomes from the European Robotic Urology Section Scientific Working Group. J. Endourol. (IF 2.7) Pub Date : 2023-11-01 Jordan M Rich,Neeraja Tillu,Ralph Grauer,Dallin Busby,Rebecca Auer,Alberto Breda,Stephan Buse,Frederiek D'Hondt,Ugo Falagario,Abolfazl Hosseini,Reza Mehrazin,Andrea Minervini,Alexandre Mottrie,John Sfakianos,Joan Palou,Carl Wijburg,Peter Wiklund,Hubert John
Background: Robot-assisted repair of benign ureteroenteric anastomotic strictures (UAS) provides an alternative to the open approach. We aimed to report short-, medium-, and long-term outcomes for robotic repair of benign UAS, and to provide a detailed video demonstration of critical operative techniques in performing this procedure robotically. Materials and Methods: Between January 2013 and September
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AI-based Video Feedback to Improve Novice Performance on Robotic Suturing Skills - A Pilot Study. J. Endourol. (IF 2.7) Pub Date : 2023-10-31 Runzhuo Ma,Dani Kiyasseh,Jasper A Laca,Rafal Kocielnik,Elyssa Y Wong,Timothy N Chu,Steven Yong Cen,Cherine H Yang,Istabraq S Dalieh,Taseen F Haque,Mitch G Goldenberg,Anima Anandkumar,Andrew Hung
INTRODUCTION Automated skills assessment can provide surgical trainees with objective, personalized feedback during training. Here, we measure the efficacy of artificial intelligence (AI)-based feedback on a robotic suturing task. MATERIALS AND METHODS 42 participants with no robotic surgical experience were randomized to a control or feedback group and video-recorded while completing two rounds (R1
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Preoperative Frailty Scores Predict the Early Postoperative Complications of Holmium Laser Enucleation of Prostate. J. Endourol. (IF 2.7) Pub Date : 2023-10-27 Mohamed Elsaqa,Harry Papaconstantinou,Marawan M El Tayeb
Background: Frailty is a recent multidimensional concept of a contemporary growing interest for understanding the complex health status of elderly population. We aimed to assess the impact of frailty scores on the outcome and complication rate of holmium laser enucleation of prostate (HoLEP). Methods: A 7-year data of HoLEP patients in a single tertiary referral center were reviewed. The preoperative
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Trends of 'Artificial Intelligence, Machine Learning, Virtual Reality and Radiomics in Urolithiasis' over the last 30 years (1994-2023) as published in the literature (PubMed): a Comprehensive review. J. Endourol. (IF 2.7) Pub Date : 2023-10-26 Carlotta Nedbal,Clara Cerrato,Victoria Jahrreiss,Amelia Pietropaolo,Andrea Benedetto Galosi,Daniele Castellani,Bhaskar K Somani
PURPOSE To analyze the bibliometric publication trend on the application of "Artificial Intelligence (AI) and its subsets (Machine Learning-ML, Virtual reality-VR, Radiomics) in Urolithiasis" over the last 3 decades. We looked at the publication trends associated with AI and stone disease, including both clinical and surgical applications, and training in endourology. METHODS Though a MeshTerms research
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Thulium Laser for the Treatment of Posterior Urethral Valves in Infants. J. Endourol. (IF 2.7) Pub Date : 2023-10-25 Valentina Forlini,Chiara Pellegrino,Federica Lena,Maria Luisa Capitanucci,Allon Van Uitert,Giovanni Mosiello
Objective: Thulium laser (ThL) has become popular in urology, because of its powerful action on tissue, achieving optimal ablation and hemostasis. Aim of our article was to evaluate efficacy of ThL in infants affected by posterior urethral valve (PUV) ablation. Patients and Methods: Clinical charts of 25 infants (age ≤12 months) who underwent PUV ablation were retrospectively reviewed. According to
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Selecting an Endourology Society Fellowship Program: The Candidates' Perspectives. J. Endourol. (IF 2.7) Pub Date : 2023-10-25 Alan J Yaghoubian,Raymond Khargi,Johnathan A Khusid,Anna Ricapito,Blair Gallante,Dara J Lundon,Christopher Connors,Roman Shimonov,William M Atallah,Mantu Gupta
Introduction: Understanding the factors that influence the decision of urology residents to pursue an Endourology Society (ES) fellowship and the criteria used by applicants to rank programs may help residents and program directors (PDs) optimize the match process. In the present study, we surveyed current ES fellows to gain better insight surrounding their decision-making process. Materials and Methods:
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Vacuum-Assisted vs Conventional Minimally Invasive Percutaneous Nephrolithotomy for the Treatment of Two-to-Four-Centimeter Stones: A Multicenter Prospective and Randomized Trial. J. Endourol. (IF 2.7) Pub Date : 2023-10-23 Siyang Liang,Xianzhong Duan,Jianhe Liu,Xiongwei Zhang,Rongjie Liang,Yanliang Zhao,Xiaorui Zhu,Yu Cang,Hanchao Wu,Zengmou Chen,Yuanzuo Zhang,Zhiduan Cai,Haoquan Zhuang,Guibin Xu
Introduction: Percutaneous nephrolithotomy (PCNL) is the recommended treatment for 2-4-cm renal stones. Minimally invasive PCNL (MPCNL) with ≤22F sheath was frequently used instead of standard PCNL. MPCNL uses pressurized irrigation to flush out stone fragments through a conventional nephrostomy sheath (cNS), which may result in higher intrarenal pressure (IRP) and longer operating time. The novel
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Intraoperative Fluorescent Image Guidance for Nerve-Sparing Prostatectomy: A Review of Historical Context and Current Research. J. Endourol. (IF 2.7) Pub Date : 2023-11-24 Asher Mandel,Chandan Das,Richard Ting,Basil Kaufmann,Ashutosh Tewari
Fluorescent probes in the near-infrared (NIR) range have immense potential to improve observation of positive margins, lymph nodes, and nerves in prostatectomy. Development of fluorescent dyes and mechanisms of cellular uptake paved the way for the current emerging technologies. However, intracellular transport of fluorophores proved to be logistically challenging with respect to intraoperative deployment
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Redefining Clinically Significant Hematuria After Holmium Enucleation of the Prostate. J. Endourol. (IF 2.7) Pub Date : 2023-10-17 Laena Hines,Karen M Doersch,Mark Ninomiya,Rajat Jain,Scott O Quarrier
Introduction and Objective: Holmium laser enucleation of the prostate (HoLEP) is often offered for symptomatic prostatic enlargement at high risk for bleeding. However, prior studies define clinically significant hematuria (CSH) narrowly as the need for blood transfusion or significant decrease in hemoglobin. We sought to evaluate risk factors contributing to a broader definition of CSH, which may
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The Effect of Pre-Stenting on Bleeding-Related Complications Following Ureteroscopy in Patients on Anticoagulation or Antiplatelet Therapy. J. Endourol. (IF 2.7) Pub Date : 2023-10-17 Jonathan H Berger,Thomas DiPina,Luay Alshara,Carlos Batagello,Joshua Heiman,Tim Large,Sri Sivalingam,Roger L Sur,Amy Krambeck,Seth K Bechis
Introduction: The American Urological Association guidelines state that continuing anticoagulant (AC) and antiplatelet (AP) agents during ureteroscopy (URS) is safe. Through a multi-institutional retrospective study, we sought to determine whether pre-stenting in patients on AP or AC was associated with fewer URS bleeding-related complications. Methods: A series of 8614 URS procedures performed across
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Electromotive Drug Administration (EMDA) in the Porcine Renal Pelvis: First Report. J. Endourol. (IF 2.7) Pub Date : 2023-10-16 Seyed Hossein Hosseini Sharifi,Yi Xi Wu,Seyed Amiryaghoub M Lavasani,Zachary Edward Tano,Sohrab Ali,Bruce Gao,Seyedamirvala Saadat,Paul Piedras,Mahra Nourbakhsh,Pengbo Jiang,Roshan M Patel,Jaime Landman,Ralph Clayman
INTRODUCTION Electromotive drug administration (EMDA) amplifies drug delivery deep into targeted tissues. We tested, for the first time, the ability of EMDA to deliver methylene blue into the urothelium of the renal pelvis. MATERIALS AND METHODS In an anesthetized female pig, both proximal ureters were transected two inches distal to the ureteropelvic junction. An 8Fr dual lumen catheter and a 5Fr
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Antimicrobial Prophylaxis for Percutaneous Nephrolithotomy: Contemporary Practice Patterns. J. Endourol. (IF 2.7) Pub Date : 2023-10-13 Jeffrey Johnson,Prakash Gorroochurn,Miyad Movassaghi,David Sanghyuk Han,Juliana Villanueva,Michael Schulster,Ojas Shah
BACKGROUND Updated in 2019, the American Urological Association's (AUA) Best Practice Statement on Urologic Procedures and Antimicrobial Prophylaxis outlines prophylaxis for percutaneous nephrolithotomy (PCNL). Recent studies have challenged these recommendations. We hypothesized endourologists do not routinely follow the AUA's statement on antibiotic use during PCNL and assessed their prescribing
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Time Efficiency and Performance of Single-Use Versus Reusable Cystoscopes: A Randomized Benchtop and Simulated Clinical Assessment. J. Endourol. (IF 2.7) Pub Date : 2023-10-06 Ricky Chen,Catalina Baas,Ala'a Farkouh,Kanha Shete,Daniel Peverini,John Hartman,Akin Amasyali,Joshua D Belle,Elizabeth Baldwin,D Duane Baldwin
Introduction A flexible cystoscope is an indispensable tool for urologists, facilitating a variety of procedures in both the operating room and at bedside. Single-use cystoscopes offer benefits including accessibility and decreased burden for reprocessing. The aims of this study were to compare time efficiency and performance of single-use and reusable cystoscopes. Methods Ten new AmbuⓇ aScopeTM 4
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Comparison Between Mini Percutaneous Nephrolithotomy and Standard Percutaneous Nephrolithotomy in Management of Large Renal Stones, a Randomized Controlled Clinical Trial. J. Endourol. (IF 2.7) Pub Date : 2023-10-06 Karim ElSaeed,Mohammed Metwally Sadeq,Karim Meslhy Hassan,Dana Osman,Ahmed Emam,A M Tawfeek,Tarek Osman
OBJECTIVES to compare between mini PNL and the standard PNL in management of renal stones (20-40 mm) regarding operative time, fluoroscopy time, blood loss, stone free rate, and postoperative complications. SUBJECTS AND METHODS This prospective randomized comparative study was carried out on 93 patients divided into 2 groups: Group A included 44 patients who underwent standard PNL, whereas Group B
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Does Resectoscope Sheath Size Influence Holmium Laser Enucleation of the Prostate (HoLEP) Outcomes? A Prospective Randomized, Controlled Trial. J. Endourol. (IF 2.7) Pub Date : 2023-10-02 Nicholas Stewart Dean,Matthew S Lee,Mark A Assmus,Perry Xu,Alyssa McDonald,Jenny Guo,Allaa Fadl-Alla,Jessica W Helon,Amy E Krambeck
INTRODUCTION Holmium laser enucleation of the prostate (HoLEP) is routinely performed with a 24, 26, or a 28 French (F) scope. Proponents of the larger scopes propose that a bigger sheath size allows for superior flow and visibility leading to a more efficient operation and better hemostasis. Those utilizing the smaller scopes suggest the lower profile is less traumatic, resulting in lower stricture
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Single-Port Robot-Assisted Radical Prostatectomy with the Novel Shurui Single-Port Robotic Surgical System. J. Endourol. (IF 2.7) Pub Date : 2023-10-01 Taile Jing,Ding Peng,Xiaolin Yao,Sunyi Ye,Qianqian Zhao,Meng Ni,Jing Shao,Xin Xu,Anbang He,Zhen Liang,Chong Lai,Honggang Qi,Hongzhou Meng,Ping Wang,Shuo Wang,Dan Xia
Purpose: The aim of this study was to explore the safety and efficacy of radical prostatectomy with a novel Shurui single-port (SR-SP) robotic surgical system. Methods: A total of 11 patients with prostate cancer were enrolled in this study. Extraperitoneal radical prostatectomy was performed using the SR-SP robotic surgical system for all patients. Clinicopathologic data, perioperative data, and short-term
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Percutaneous Renal Tumor Cryoablation Effect on Renal Function. J. Endourol. (IF 2.7) Pub Date : 2023-10-01 Jens Steensen Knudsen,Louise Aarup Duus,Theresa Junker,Bo Mussmann,Ole Graumann
Background: Percutaneous cryoablation (PCA) of renal tumors is a well-established alternative to partial nephrectomy, but the effects on renal function after the procedure are not well-documented. The purpose of this study was to evaluate renal function after computed tomography-guided PCA. Materials and Methods: A retrospective cohort study including 259 patients treated with PCA at Odense University
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Prospective Randomized Trial of Antibiotic Prophylaxis Duration for Percutaneous Nephrolithotomy in Low-Risk Patients. J. Endourol. (IF 2.7) Pub Date : 2023-10-01 Luke Griffiths,Tareq Aro,Patrick Samson,Samir Derisavifard,Jacob Gaines,Daniel Alaiev,Gregory Mullen,Arun Rai,Thomas Williams,Vinay Patel,Geoffrey Guanay,David Leavitt,Christopher Hartman,Arthur Smith,David Hoenig,Zeph Okeke
Introduction and Objective: Postoperative infection and sepsis account for the most common complications following percutaneous nephrolithotomy (PCNL), as high as 14% in low-risk patients. Although the American Urological Association (AUA) recommends perioperative antibiotics for 24 hours or less for PCNL, practice patterns vary regarding duration of antibiotic therapy. We aimed to compare the efficacy
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Prospective Randomized Trial of Single-Use vs Reusable Cystoscope for Ureteral Stent Removal. J. Endourol. (IF 2.7) Pub Date : 2023-10-01 Brett A Johnson,Jay D Raman,Sara L Best,Yair Lotan
Background: Reusable cystoscopes are associated with risks of cross-contamination, need for chemical reprocessing, mechanical breakdown, maintenance costs, and labor for cleaning. A sterile, single-use cystoscope may reduce or eliminate the source of these infections while also decreasing exposure to reprocessing chemical agents. In this multicenter, randomized trial, we sought to compare single use
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The Ideal Interval Between Repeated Shockwaves Lithotripsy Sessions for Renal Stones: A Randomized Controlled Trial. J. Endourol. (IF 2.7) Pub Date : 2023-09-28 Mohamed Fadallah,Ahmed Abdelhalim,Abdelwahab Hashem,Wael I Mortada,Hadeer A M Ibrahim,Khaled Z Sheir,Ahmed M Harraz,Mahmoud Kennawy,Ahmed Refat El-Nahas
OBJECTIVES To assess the ideal interval between repeated shockwaves lithotripsy (SWL) for renal stones. PATIENT AND METHODS Eligible patients with a single renal stone ≤20 mm who required SWL were randomly assigned to one of three groups based on intervals between 1st and 2nd sessions. Patients underwent the 2nd session after 3, 7, and 14 days in groups 1, 2, and 3 respectively. Tubular functions were
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The impact of bilateral stone disease on patients' disease progression and health related quality of life. J. Endourol. (IF 2.7) Pub Date : 2023-09-28 Brendan Raizenne,Claudia Deyirmendjian,Marie-Lyssa Lafontaine,Maimouna Balde,Seth K Bechis,Roger L Sur,Stephen Y Nakada,Jodi A Antonelli,Necole M Streeper,Sri Sivalingam,Davis Viprakasit,Timothy D Averch,Jaime Landman,Thomas Chi,Vernon M Pais,Ben H Chew,Vincent Bird,Sero Andonian,Noah E Canvasser,Jonathan D Harper,Kristina L Penniston,Naeem Bhojani
Purpose Patients with recurring kidney stone events can expect significant morbidity and functional impairment. Few studies have evaluated the effect of bilateral kidney stones on disease progression and quality of life. We wanted to determine the association of bilateral stone disease on age of onset, and the impact on number of stone events and individual kidney stone disease specific Health Related
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Does High Ventilation Mode Affect the Success Rates of Retrograde Intrarenal Surgery? A Single-Blind Randomized, Prospective, Single-Center Study. J. Endourol. (IF 2.7) Pub Date : 2023-09-25 Çağri Doğan,Ayhan Şahin,Haci Murat Akgül,Cenk Murat Yazici,Anil Keleş,Hüseyin Ateş,Serkan Şeramet
Purpose: Retrograde intrarenal surgery (RIRS) has been accepted as a first-line therapeutic option for kidney stones <2 cm. Renal mobility might be a challenging situation for the surgeon targeting the laser, thereby limiting the renal mobility during surgery might affect the surgical success. The main objective of the present trial was to evaluate the effect of two different ventilation modes on the
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An Innovative Technique for Ejaculation-Sparing Prostatic Enucleation with Thulium:YAG Laser. J. Endourol. (IF 2.7) Pub Date : 2023-11-21 Roberto Migliari,Fabrizio Mele,Maurizio Barale,Giovanni De Rosa,Marco Migliari,Alessandro Giacobbe
Purpose: We report our experience with 100 patients who underwent an innovative prostate enucleation technique that spares the complete urethral-plate from the veru montanum to the bladder neck using a low-energy thulium laser emission. The aim of our study was to evaluate the short-term effects of this procedure on ejaculation preservation and urinary obstruction. Materials and Methods: The International
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Thulium Fiber Laser vs Pulse-Modulated Holmium MOSES Laser in Flexible Ureteroscopy for the Management of Kidney Stones: A Single-Center Retrospective Analysis. J. Endourol. (IF 2.7) Pub Date : 2023-09-20 Parsa Nikoufar,Amr Hodhod,Moustafa Fathy,Ahmed S Zakaria,Waleed Shabana,Ruba Abdul Hadi,Islam F Abdelkawi,Husain Alaradi,Loay Abbas,Amer Alaref,Walid Shahrour,Hazem Elmansy
Introduction and Objective: The study's primary objective was to compare the laser efficiency and clinical outcomes of two widely used systems, the holmium MOSES laser and the thulium fiber laser (TFL), in managing kidney stones. The secondary outcomes were to evaluate the impact of stone composition on laser efficacy. Methods: We conducted a retrospective review of patients who underwent flexible
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Continence-Sparing Techniques in Radical Prostatectomy: A Systematic Review of Randomized Controlled Trials. J. Endourol. (IF 2.7) Pub Date : 2023-09-11 Simona Ippoliti,Gaia Colalillo,Gerald Egbury,Luca Orecchia,Peter Fletcher,Thierry Piechaud,Richard Gaston,Enrico Finazzi-Agrò,Roberto Miano,Anastasios D Asimakopoulos
Background: Numerous continence-sparing radical prostatectomy techniques have been developed to enhance postoperative early continence (EC) recovery; however, evidence regarding the best approach remains controversial. The objectives are to provide a critical appraisal of various prostatectomy techniques, based on the evidence of quality-assessed randomized control trials (RCTs); to summarize the immediate
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Clinical Experiences Using the First Ureteroscope with Intrarenal Pressure Monitoring. J. Endourol. (IF 2.7) Pub Date : 2023-09-01 Mantu Gupta,William Atallah,Wilson Molina,Michelle Jo Semins,Ravi Munver
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Comment on: "Vesicourethral Anastomosis in Transvesical Single-Port Robotic Radical Prostatectomy: A Technical Description and Perioperative Outcomes" by Soputro et al. J. Endourol. (IF 2.7) Pub Date : 2023-09-01 Aditya Sathe,Luke A Shumaker,Soroush Rais-Bahrami
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Initial Experience of Robot-Assisted Simple Prostatectomy with Hugo Robot-Assisted Surgery System: Step-by-Step Description of Two Different Techniques. J. Endourol. (IF 2.7) Pub Date : 2023-09-01 Adele Piro,Federico Piramide,Eleonora Balestrazzi,Marco Paciotti,Carlo Andrea Bravi,Maria Peraire Lores,Gabriele Sorce,Marco Ticonosco,Nicola Frego,Silvia Rebuffo,Claudia Collá-Ruvolo,Antonio Inferrera,Geert De Naeyer,Ruben De Groote,Francesco Greco,Alexandre Mottrie
Introduction: There are only a few clinical data on nononcologic procedures performed with the new Hugo™ robot-assisted surgery (RAS) system. Robot-assisted simple prostatectomy (RASP) is a minimally invasive treatment option for benign prostatic hyperplasia, and it demonstrated equal early functional and better perioperative outcomes as compared with open simple prostatectomy. In this article, we
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Evaluation of Renal Function and Stent Durability Following Resonance Stent Placement for Benign Disease. J. Endourol. (IF 2.7) Pub Date : 2023-09-01 Rohit Bhatt,Kelvin Vo,Andrei D Cumpanas,Kalon L Morgan,Andrew Shin,Sohrab N Ali,Allen Rojhani,Akhil Peta,Andrew Brevik,Zachary E Tano,Pengbo Jiang,Roshan M Patel,Ralph V Clayman,Jaime Landman
Introduction: The metal-based Resonance stent (RS) has traditionally been placed in patients with malignant ureteral obstruction; as such, the long-term utility of RS among patients with benign ureteral obstruction (BUO) remains underinvestigated. Methods: We retrospectively reviewed our database for patients with BUO who underwent RS placement between 2010 and 2020. The impact of chronic RS placement
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Periprostatic Adipose Tissue MRI Radiomics-Derived Features Associated with Clinically Significant Prostate Cancer. J. Endourol. (IF 2.7) Pub Date : 2023-08-31 Mohammed Shahait,Ruben Usamentiaga,Yubing Tong,Alex Sandberg,David I Lee,Jayaram K Udupa,Drew A Torigian
Background: Altered systemic and cellular lipid metabolism plays a pivotal role in the pathogenesis of prostate cancer (PCa). In this study, we aimed to characterize T1-magnetic resonance imaging (MRI)-derived radiomic parameters of periprostatic adipose tissue (PPAT) associated with clinically significant PCa (Gleason score ≥7 [3 + 4]) in a cohort of men who underwent robot-assisted prostatectomy
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Current Evidence on Surgical Management for Benign Prostatic Hyperplasia in Renal Transplant Recipients: A Systematic Review. J. Endourol. (IF 2.7) Pub Date : 2023-08-31 Carlo Giulioni,Vanessa Palantrani,Virgilio De Stefano,Andrea Cicconofri,Angelo Antezza,Mattia Beltrami,Giulio Milanese,Andrea Ranghino,Vineet Gauhar,Daniele Castellani,Andrea Benedetto Galosi
Background: Patients who have undergone renal transplant may have a concomitant benign prostatic hyperplasia (BPH), a condition that can potentially hinder the recovery of the renal graft and necessitate surgical intervention. However, endoscopic treatment of BPH should be performed carefully because of the associated perioperative risks. We aimed to systematically assess the factors affecting surgical
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Steerable Ureteroscopic Renal Evacuation (SURE) for Large Renal Stones: A Multi-Institutional Center Study. J. Endourol. (IF 2.7) Pub Date : 2023-08-28 Karen L Stern,Benjamin Joseph Borgert,J Stuart Wolf
BACKGROUND The results of a recent pilot study suggest that steerable ureteroscopic renal evacuation (SURE) is safe and more effective in stone removal than basketing following laser lithotripsy. The objective of this retrospective study was to further assess the safety and efficacy of SURE using the CVAC® Aspiration System (Calyxo, Inc., Pleasanton, CA) in patients with large stone burdens. MATERIALS
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Trends of Benign Prostatic Hyperplasia Procedures in Ambulatory Surgery Settings. J. Endourol. (IF 2.7) Pub Date : 2023-08-28 Jenny N Guo,Neil A Mistry,Matthew S Lee,Nicholas S Dean,Mark A Assmus,Amy E Krambeck
Introduction: Holmium laser enucleation of the prostate (HoLEP) has evidenced-based advantages in treating benign prostatic hyperplasia (BPH) relative to other interventions. Unfortunately, the adoption of HoLEP has remained relatively low in Medicare and the National Surgical Quality Improvement Program populations. HoLEPs role as an inpatient surgical intervention is changing as advancements in the
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Comment on: "Is Robotic Superior to Laparoscopic Approach for Radical Nephroureterectomy with Bladder Cuff Excision in Treating Upper Urinary Tract Urothelial Carcinoma?" by Huang et al. J. Endourol. (IF 2.7) Pub Date : 2023-08-28 Runzhuo Ma,Farshad Sheybaee Moghaddam,Hooman Djaladat
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Effect of Peritoneal Interposition Flap to Prevent Symptomatic Lymphoceles in Robot-Assisted Radical Prostatectomy with Pelvic Lymphadenectomy: A Meta-Analysis and Systematic Review. J. Endourol. (IF 2.7) Pub Date : 2023-08-14 Junjie Zhou,Lin Zhou,Xi Duan,Hui Shuai,Ying Tan,Qian Xu,Xiaorong Mao,Shanshan Wang,Tao Wu
Background: This systematic review and meta-analysis investigated whether peritoneal interposition flap (PIF) prevent lymphocele formation after robot-assisted radical prostatectomy with extended pelvic lymph node dissection. Materials and Methods: We performed a systematic review and cumulative meta-analysis of the primary outcomes according to the Preferred Reporting Items for Systematic Reviews
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Comparisons of the Safety and Effectiveness of Robot-Assisted vs Laparoscopic Partial Nephrectomy for Central Renal Angiomyolipomas: A Propensity Score-Matched Analysis Study. J. Endourol. (IF 2.7) Pub Date : 2023-08-14 Qi-Qi Zhu,Zhi-Wei Li,Ying Liu,Yi-Fu Liu,Zhi-Cheng Zhang,Ting Sun,Bin-Bin Gong
Objective: To compare the safety and effectiveness of robot-assisted partial nephrectomy (RAPN) vs laparoscopic partial nephrectomy (LPN) in the treatment of central renal angiomyolipomas (AMLs). Methods: We retrospectively analyzed the clinical data of 103 patients who were treated with either RAPN or LPN for central AMLs between January 2017 and June 2022. Propensity scores were matched according
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Comment on: "Single Port vs Multiple Port Robot-Assisted Laparoscopic Pyeloplasty for the Treatment of Ureteropelvic Junction Obstruction: A Systematic Review and Meta-Analysis" by Gu et al. J. Endourol. (IF 2.7) Pub Date : 2023-08-09 Jian-Wei Yang,Shun Wan,Li Yang
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Vesicourethral Anastomosis in Transvesical Single-Port Robotic Radical Prostatectomy: A Technical Description and Perioperative Outcomes. J. Endourol. (IF 2.7) Pub Date : 2023-08-09 Nicolas A Soputro,Ethan L Ferguson,Roxana Ramos-Carpinteyro,Jaya S Chavali,Albert Geskin,Jihad Kaouk
Objective: To describe the technical evolution and perioperative outcomes of vesicourethral anastomosis (VUA) in transvesical (TV) single-port robot-assisted radical prostatectomy (SP-RARP). Materials and Methods: A retrospective review was performed on 189 patients who underwent TV SP-RARP by a single surgeon using the purpose-built SP robotic platform. VUA was completed from within the bladder using
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Correction to: Journal of Endourology 2023; 37(6): 634-641. J. Endourol. (IF 2.7) Pub Date : 2023-08-01
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An Autonomous Continuous Bladder Irrigation System. J. Endourol. (IF 2.7) Pub Date : 2023-09-01 Kai-Ho Fok,Sufyan Shaikh,Ray Jayatunga,Shamir Malik,Jonguk Lee,Brian Carrillo,Monica Farcas
Introduction and Objective: Continuous bladder irrigation (CBI) is used in a variety of clinical settings, including post-transurethral surgery and the emergency department. Currently, CBI administration relies on nurses to diligently monitor and switch irrigation bags, as well as titrate the inflow rate based on effluent color. Inappropriate administration can result in discomfort to patients, clot