The Experts below are selected from a list of 246 Experts worldwide ranked by ideXlab platform
Lindsay A. White - One of the best experts on this subject based on the ideXlab platform.
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Robotic-assisted Bladder Neck procedures in children with neurogenic Bladder
World Journal of Urology, 2019Co-Authors: Patricio C. Gargollo, Lindsay A. WhiteAbstract:Purpose To review the current status of robotic-assisted laparoscopic surgical techniques for Bladder Neck procedures in children with incontinence secondary to neurogenic Bladder. Methods A comprehensive review of the literature on robotic-assisted Bladder Neck procedures was conducted, with a focus on articles published in the last 25 years. These data were subsequently compared to published series of open Bladder Neck procedures and published results from robotic-assisted Bladder Neck reconstruction series completed at our institution. Results The principle Bladder Neck procedures for incontinence in pediatric patients with neurogenic Bladder include: Artificial Urinary Sphincter, Bladder Neck Sling, Bladder Neck Closure, and Bladder Neck Reconstruction. Continence rates range from 60 to 100% with a lack of expert consensus on the preferred procedure (or combination of procedures). Robotic-assisted approaches are associated with longer operative times, especially early in the surgical experience, but demonstrate equivalent continence rates with potential benefits including low interoperative blood loss, improved cosmesis, and decreased intra-abdominal adhesion formation. Conclusions Robotic-assisted procedures of the Bladder Neck are safe, feasible, follow the same steps and principles as those of open surgery and produce equivalent continence rates. Robotic-assisted techniques can be adapted to a variety of Bladder Neck procedures and safely expanded to selected patients with the previous open abdominal surgery.
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robotic assisted Bladder Neck procedures for incontinence in pediatric patients
Frontiers in Pediatrics, 2019Co-Authors: Patricio C. Gargollo, Lindsay A. WhiteAbstract:: Purpose: To review the current status of Bladder Neck procedures for incontinence in pediatric patients, focusing on the increasing role of robotic-assisted laparoscopic surgical techniques. Methods: A comprehensive review of the literature on open and robotic-assisted Bladder Neck procedures was conducted, with a focus on articles published in the last 20 years. This data was subsequently compared with published results from robotic-assisted Bladder Neck reconstruction series completed at our institution. Results: The principal Bladder Neck procedures for incontinence in pediatric patients include: Artificial Urinary Sphincter, Bladder Neck Sling, Bladder Neck Closure and Bladder Neck Reconstruction. Continence rates range from 60 to 100% with a lack of expert consensus on the preferred procedure (or combination of procedures). Robotic-assisted approaches are associated with longer operative times, especially early in the surgical experience, but demonstrate equivalent continence rates with potential benefits including: low intraoperative blood loss, improved cosmesis, and decreased intra-abdominal adhesion formation. Conclusions: Robotic-assisted procedures of the Bladder Neck are safe, feasible, follow the same steps and principles as those of open surgery and produce equivalent continence rates. Robotic-assisted techniques can be adapted to a variety of Bladder Neck procedures and safely expanded to selected patients with previous open abdominal surgery.
Chunghsin Peng - One of the best experts on this subject based on the ideXlab platform.
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transurethral incision of Bladder Neck in treatment of Bladder Neck obstruction in women
Urology, 2005Co-Authors: Chunghsin PengAbstract:Abstract Objectives To report our preliminary experience with transurethral incision of the Bladder Neck in the treatment of female voiding dysfunction due to Bladder Neck obstruction. Bladder Neck obstruction in women is an infrequently diagnosed urologic condition. Methods Bladder Neck obstruction was diagnosed in 11 women 41 to 80 years of age, who presented with difficult micturition or urinary retention. Preoperative investigations included a full urodynamic examination and urethrocystoscopy. Transurethral Bladder Neck incision was performed in all patients. Urodynamic results and clinical improvement in voiding symptoms were assessed. Results Of the 11 patients, 5 had chronic urinary retention and 6 had difficult micturition; 3 also had recurrent urinary tract infection or upper urinary tract deterioration. The most frequent findings on video-urodynamic study were a high voiding pressure plus low flow rate and a narrow Bladder Neck during voiding on cinefluoroscopy. After treatment, the lower urinary tract symptoms were resolved or improved in all patients. Ten patients resumed spontaneous voiding with a small postvoid residual urine volume; the remaining patient was able to void by abdominal straining after adjuvant urethral botulinum A toxin injection. Urodynamic study revealed a decreased voiding pressure and postvoid residual urine volume and an increased maximal flow rate. The overall satisfactory rate was 91%. Conclusions Transurethral incision of the Bladder Neck is effective in relieving voiding difficulty owing to anatomic or functional Bladder Neck obstruction in women. A full video-urodynamic evaluation is essential in making the correct diagnosis and formulating a treatment plan.
Patricio C. Gargollo - One of the best experts on this subject based on the ideXlab platform.
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Robotic-assisted Bladder Neck procedures in children with neurogenic Bladder
World Journal of Urology, 2019Co-Authors: Patricio C. Gargollo, Lindsay A. WhiteAbstract:Purpose To review the current status of robotic-assisted laparoscopic surgical techniques for Bladder Neck procedures in children with incontinence secondary to neurogenic Bladder. Methods A comprehensive review of the literature on robotic-assisted Bladder Neck procedures was conducted, with a focus on articles published in the last 25 years. These data were subsequently compared to published series of open Bladder Neck procedures and published results from robotic-assisted Bladder Neck reconstruction series completed at our institution. Results The principle Bladder Neck procedures for incontinence in pediatric patients with neurogenic Bladder include: Artificial Urinary Sphincter, Bladder Neck Sling, Bladder Neck Closure, and Bladder Neck Reconstruction. Continence rates range from 60 to 100% with a lack of expert consensus on the preferred procedure (or combination of procedures). Robotic-assisted approaches are associated with longer operative times, especially early in the surgical experience, but demonstrate equivalent continence rates with potential benefits including low interoperative blood loss, improved cosmesis, and decreased intra-abdominal adhesion formation. Conclusions Robotic-assisted procedures of the Bladder Neck are safe, feasible, follow the same steps and principles as those of open surgery and produce equivalent continence rates. Robotic-assisted techniques can be adapted to a variety of Bladder Neck procedures and safely expanded to selected patients with the previous open abdominal surgery.
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robotic assisted Bladder Neck procedures for incontinence in pediatric patients
Frontiers in Pediatrics, 2019Co-Authors: Patricio C. Gargollo, Lindsay A. WhiteAbstract:: Purpose: To review the current status of Bladder Neck procedures for incontinence in pediatric patients, focusing on the increasing role of robotic-assisted laparoscopic surgical techniques. Methods: A comprehensive review of the literature on open and robotic-assisted Bladder Neck procedures was conducted, with a focus on articles published in the last 20 years. This data was subsequently compared with published results from robotic-assisted Bladder Neck reconstruction series completed at our institution. Results: The principal Bladder Neck procedures for incontinence in pediatric patients include: Artificial Urinary Sphincter, Bladder Neck Sling, Bladder Neck Closure and Bladder Neck Reconstruction. Continence rates range from 60 to 100% with a lack of expert consensus on the preferred procedure (or combination of procedures). Robotic-assisted approaches are associated with longer operative times, especially early in the surgical experience, but demonstrate equivalent continence rates with potential benefits including: low intraoperative blood loss, improved cosmesis, and decreased intra-abdominal adhesion formation. Conclusions: Robotic-assisted procedures of the Bladder Neck are safe, feasible, follow the same steps and principles as those of open surgery and produce equivalent continence rates. Robotic-assisted techniques can be adapted to a variety of Bladder Neck procedures and safely expanded to selected patients with previous open abdominal surgery.
Raul Webster - One of the best experts on this subject based on the ideXlab platform.
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radical retropubic prostatectomy Bladder Neck preservation versus reconstruction
The Journal of Urology, 2000Co-Authors: Michael Poon, Herbert C Ruckle, Robert B Bamshad, Chris Tsai, Raul WebsterAbstract:Purpose:: We compare Bladder Neck contracture, urinary continence and positive surgical margin rates after Bladder Neck preservation and excision with radical retropubic prostatectomy.Materials and Methods:: A retrospective analysis of clinical and pathological findings, and followup of 220 patients who underwent radical retropubic prostatectomy was performed. Patients were divided into 3 groups of Bladder Neck preservation (101), “tennis racket” reconstruction (63) and anterior Bladder tube reconstruction (56).Results:: Mean followup was 19.7, 36.7 and 16.2 months, respectively, for Bladder Neck preservation, tennis racket reconstruction and anterior Bladder tube reconstruction. Overall, Bladder Neck contracture occurred in 22 of 220 cases (10%), including 5 of 101 (5%) with Bladder Neck preservation, 7 of 63 (11%) with tennis racket reconstruction and 10 of 56 (18%) with anterior Bladder tube reconstruction, which approached statistical significance (p = 0.061). Urinary continence was assessed by a thir...
Michael Poon - One of the best experts on this subject based on the ideXlab platform.
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radical retropubic prostatectomy Bladder Neck preservation versus reconstruction
The Journal of Urology, 2000Co-Authors: Michael Poon, Herbert C Ruckle, Robert B Bamshad, Chris Tsai, Raul WebsterAbstract:Purpose:: We compare Bladder Neck contracture, urinary continence and positive surgical margin rates after Bladder Neck preservation and excision with radical retropubic prostatectomy.Materials and Methods:: A retrospective analysis of clinical and pathological findings, and followup of 220 patients who underwent radical retropubic prostatectomy was performed. Patients were divided into 3 groups of Bladder Neck preservation (101), “tennis racket” reconstruction (63) and anterior Bladder tube reconstruction (56).Results:: Mean followup was 19.7, 36.7 and 16.2 months, respectively, for Bladder Neck preservation, tennis racket reconstruction and anterior Bladder tube reconstruction. Overall, Bladder Neck contracture occurred in 22 of 220 cases (10%), including 5 of 101 (5%) with Bladder Neck preservation, 7 of 63 (11%) with tennis racket reconstruction and 10 of 56 (18%) with anterior Bladder tube reconstruction, which approached statistical significance (p = 0.061). Urinary continence was assessed by a thir...
