The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Rene Sotelo - One of the best experts on this subject based on the ideXlab platform.
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Robot-assisted intrafascial simple prostatectomy: novel technique.
Journal of endourology, 2013Co-Authors: Rafael Clavijo, Oswaldo Carmona, Robert De Andrade, Roberto Garza, Golena Fernández, Rene SoteloAbstract:Abstract Purpose: We describe our initial experience with intrafascial robot-assisted simple prostatectomy (IF-RSP). Potential advantages include reduced blood loss, elimination of the need for postoperative bladder irrigation, and elimination of the risk of residual or future prostate cancer, without interrupting potency or continence. Patients and Methods: From June 2011 to March 2012, 10 patients with symptomatic Prostatomegaly on transrectal ultrasonography (TRUS) (mean 81 g) underwent IF-RSP. Three patients had acute urinary retention. Demographic perioperative and outcome data were recorded up to 1 month follow-up. Results: Average age was 71.7 years (range 60–79 years), estimated blood loss was 375 mL (range 150–900 mL), operative time was 106 minutes (range 60–180 min), hospital stay was 1 day (range 0–3 days), and Foley catheter duration was 8.9 days (range 6–14 days). The drain was removed at a mean 2.8 days (range 0–8 days). Mean prostate volume on preoperative TRUS was 81 cc (range 47–153 cc)....
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Adult urologyOncology: Prostate/testis/penis/urethraRobotic Simple Prostatectomy
The Journal of urology, 2008Co-Authors: Rene Sotelo, Rafael Clavijo, Oswaldo Carmona, Alejandro Garcia, Eduardo Banda, Marcelo Miranda, Randy FaginAbstract:Purpose: Minimally invasive approaches for large, symptomatic benign prostatic hyperplasia are replacing the gold standard open surgical approach, duplicating its results with lower morbidity. We describe our initial experience with robotic simple prostatectomy.Materials and Methods: Since January 2007, robotic simple prostatectomy was performed via a transperitoneal approach in 7 patients with symptomatic significant Prostatomegaly on transrectal ultrasound (mean 77.66 gm). Demographic, perioperative and outcome data were recorded and all procedures were performed by the same surgeon.Results: Average patient age was 63.2 years (range 56 to 72) and estimated blood loss was 298 ml (range 60 to 800). Average operative time was 205 minutes (range 120 to 300). Average hospital stay was 1.4 days (range 1 to 2), average Foley catheter duration was 7 days (range 6 to 9) and drains were removed after an average of 3.75 days (range 3 to 4). Mean specimen weight on pathological examination was 50.48 gm (range 40 to...
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LAPAROSCOPIC RETROPUBIC SIMPLE PROSTATECTOMY
The Journal of Urology, 2005Co-Authors: Rene Sotelo, Massimiliano Spaliviero, Alejandro Garcia-segui, John Novoa, Mihir M Desai, Jihad H Kaouk, Waleed Abu Al-hasan, Inderbir S. GillAbstract:ABSTRACT Purpose: Open retropubic simple prostatectomy is occasionally performed for symptomatic, large volume benign prostatic hyperplasia. We describe the technique of laparoscopic simple retropubic prostatectomy. Materials and Methods: Since August 2001 at our 2 institutions laparoscopic simple retropubic prostatectomy has been performed in 17 patients with symptomatic significant Prostatomegaly on transrectal ultrasonography (60 gm or greater, mean 93). Essential aspects of our 5 port technique are transverse cystotomy just proximal to the prostatovesical junction, subcapsular plane development, prostatic adenomectomy, prostatic fossa trigonization and prostatic capsule suture repair. Demographic, perioperative and outcome data were recorded. Results: Mean operative time was 156 minutes (range 85 to 380), blood loss was 516 ml (range 100 to 2,500), hospital stay was 48 hours (range 15 to 110), and Foley catheter duration was 6.3 days (range 3 to 7). Mean specimen weight on pathological examination was 72 gm (range 32 to 120). Five patients (29%) required blood transfusion. Complications occurred in 3 patients (19%), that is intraoperative hemorrhage, catheter clot obstruction and duodenal ulcer bleeding in 1 each. All patients reported complete continence during a followup period of 1 month to 2 years. Considerable improvement from baseline was noted in American Urological Association score (preoperative vs postoperative 24.5 vs 9.9) and the maximum urine flow rate (preoperative vs postoperative 7 vs 22.8 cc per minute). Conclusions: Laparoscopic simple retropubic prostatectomy for large benign prostate hyperplasia is feasible. Our initial experience is presented.
Hemendra N. Shah - One of the best experts on this subject based on the ideXlab platform.
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Simultaneous Holmium Laser Enucleation of Prostate with Removal of the Permanent Prostatic Urethral Stent Using the High-Power Holmium Laser: Technique in Two Cases and Review of the Literature.
Journal of endourology case reports, 2020Co-Authors: Indraneel Banerjee, Nicholas Smith, Jonathan E. Katz, Aniruddha Gokhale, Rashmi Shah, Hemendra N. ShahAbstract:Background: Although the prostatic urethral stents are no longer used in the United States for treatment of Prostatomegaly, urologists will encounter patients with complications of previously placed permanent prostatic stents. We report two cases of persistent bothersome lower urinary tract symptoms (LUTS) after prostatic stent placement treated with simultaneous holmium laser enucleation of prostate (HoLEP) with endoscopic removal of the prostatic urethral stent using high-power holmium laser. We also reviewed the literature regarding the removal of prostatic stents with holmium laser combined with surgical management of benign prostatic hyperplasia. Case Presentation: A 71-year-old man who presented with LUTS, recurrent gross hematuria, and urinary infection, which developed after placement of a prostatic stent 10 years prior for urinary retention secondary to Prostatomegaly (80 g). He underwent combined HoLEP with endoscopic removal of the prostatic stent using 100 W holmium laser at a power setting of 2 J and 30 Hz. The surgical steps comprised fragmentation of the stent in situ by making incisions at 5, 7, and 12 o'clock positions followed by enucleation of the prostate. The stent was then separated from enucleated tissue in the urinary bladder. The remaining prostate adenoma was then morcellated and removed. The patient remained asymptomatic at 10-year follow-up. Another patient was 62-year-old man who developed recurrence of bothersome LUTS, 1 year after placement a prostatic stent for urinary retention. On investigation his prostate was 105 g and stent showed partial migration in the bladder with overlying calcification. HoLEP and stent removal was performed in a manner similar to the first patient. This patient also remained asymptomatic at a 1-year follow-up. Conclusion: Combined HoLEP with removal of a prostatic urethral stent using a high-power holmium laser is safe and effective with long-term durable outcome.
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simultaneous holmium laser enucleation of prostate with removal of the permanent prostatic urethral stent using the high power holmium laser technique in two cases and review of the literature
Journal of endourology case reports, 2020Co-Authors: Indraneel Banerjee, Nicholas Smith, Jonathan E. Katz, Aniruddha Gokhale, Rashmi Shah, Hemendra N. ShahAbstract:Background: Although the prostatic urethral stents are no longer used in the United States for treatment of Prostatomegaly, urologists will encounter patients with complications of previously place...
Randy Fagin - One of the best experts on this subject based on the ideXlab platform.
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Adult urologyOncology: Prostate/testis/penis/urethraRobotic Simple Prostatectomy
The Journal of urology, 2008Co-Authors: Rene Sotelo, Rafael Clavijo, Oswaldo Carmona, Alejandro Garcia, Eduardo Banda, Marcelo Miranda, Randy FaginAbstract:Purpose: Minimally invasive approaches for large, symptomatic benign prostatic hyperplasia are replacing the gold standard open surgical approach, duplicating its results with lower morbidity. We describe our initial experience with robotic simple prostatectomy.Materials and Methods: Since January 2007, robotic simple prostatectomy was performed via a transperitoneal approach in 7 patients with symptomatic significant Prostatomegaly on transrectal ultrasound (mean 77.66 gm). Demographic, perioperative and outcome data were recorded and all procedures were performed by the same surgeon.Results: Average patient age was 63.2 years (range 56 to 72) and estimated blood loss was 298 ml (range 60 to 800). Average operative time was 205 minutes (range 120 to 300). Average hospital stay was 1.4 days (range 1 to 2), average Foley catheter duration was 7 days (range 6 to 9) and drains were removed after an average of 3.75 days (range 3 to 4). Mean specimen weight on pathological examination was 50.48 gm (range 40 to...
M. L. Higginbotham - One of the best experts on this subject based on the ideXlab platform.
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Prostatic Neoplasia: In Search of a Treatment
Veterinary and Comparative Oncology, 2005Co-Authors: Ralph A. Henderson, Annette N. Smith, M. L. HigginbothamAbstract:Introduction: Complete prostatectomy with healing and normal urinary function is reported for some prostatic diseases. However incontinence rates of up to 100% for neoplasia-affected dogs have dampened surgeons’ enthusiasm for performing prostatectomies. Hypothesizing that incontinence following prostatectomy for prostatic cancer is related to extensive dissection associated with advanced invasion, it is proposed that there exists a subset of dogs with prostatic cancer that require minimal dissection and have the potential for quality survival for pet and owner. Materials and Methods: Dogs that received prostatectomy for neoplasia were qualitatively reviewed for commonalities associated with an outcome viewed as successful by owner and veterinarian. Results: Early diagnosis (Prostatomegaly-castrated population, high index of suspicion, ultrasound guided cytology) with referral center staging (ultrasound, contrast CT) enabled selection of appropriate surgery (urinary drainage, stent, prostatic enucleation, extrapelvic urethral anastomosis, cystoprostatourethrectomy with ureterocolonic anastomosis) for several dogs. Conclusions: A massive demographic shift toward castrated dogs and widespread availability of abdominal u/s can distinguish dogs that may benefit from advanced staging technology and treatment for locally confined prostatic neoplasia. Application: Step one is local control. Though based on a dribble of cases, it is clear that some dogs with prostatic cancer can be cured and live high quality lives. We wanted to leak these results so that oncologists will encourage early aggressive investigation and referral for Prostatomegaly in castrated dogs.
Inderbir S. Gill - One of the best experts on this subject based on the ideXlab platform.
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LAPAROSCOPIC RETROPUBIC SIMPLE PROSTATECTOMY
The Journal of Urology, 2005Co-Authors: Rene Sotelo, Massimiliano Spaliviero, Alejandro Garcia-segui, John Novoa, Mihir M Desai, Jihad H Kaouk, Waleed Abu Al-hasan, Inderbir S. GillAbstract:ABSTRACT Purpose: Open retropubic simple prostatectomy is occasionally performed for symptomatic, large volume benign prostatic hyperplasia. We describe the technique of laparoscopic simple retropubic prostatectomy. Materials and Methods: Since August 2001 at our 2 institutions laparoscopic simple retropubic prostatectomy has been performed in 17 patients with symptomatic significant Prostatomegaly on transrectal ultrasonography (60 gm or greater, mean 93). Essential aspects of our 5 port technique are transverse cystotomy just proximal to the prostatovesical junction, subcapsular plane development, prostatic adenomectomy, prostatic fossa trigonization and prostatic capsule suture repair. Demographic, perioperative and outcome data were recorded. Results: Mean operative time was 156 minutes (range 85 to 380), blood loss was 516 ml (range 100 to 2,500), hospital stay was 48 hours (range 15 to 110), and Foley catheter duration was 6.3 days (range 3 to 7). Mean specimen weight on pathological examination was 72 gm (range 32 to 120). Five patients (29%) required blood transfusion. Complications occurred in 3 patients (19%), that is intraoperative hemorrhage, catheter clot obstruction and duodenal ulcer bleeding in 1 each. All patients reported complete continence during a followup period of 1 month to 2 years. Considerable improvement from baseline was noted in American Urological Association score (preoperative vs postoperative 24.5 vs 9.9) and the maximum urine flow rate (preoperative vs postoperative 7 vs 22.8 cc per minute). Conclusions: Laparoscopic simple retropubic prostatectomy for large benign prostate hyperplasia is feasible. Our initial experience is presented.
