The impact of prostate size on perioperative outcomes in a large laparoscopic radical prostatectomy series.

Purpose: To clarify the effects of pathologic prostate specimen weight on perioperative outcomes in laparoscopic radical prostatectomy (LRP), a subject that has recently been analyzed in numerous smaller series.

Patients And Methods: Data from our Institution Review Board-approved database was queried with attention to operative, perioperative, and pathologic outcomes. For analysis, LRP patients were divided into three groups by pathologic specimen weight: <35 g, 35 to 70 g, and >70 g, and outcomes assessed.

Robot-assisted laparoscopic radical prostatectomy in patients with pre-existing inflatable penile prosthesis.

Patients with clinically localized prostate cancer presenting for extirpative therapy often have a prior history of pelvic surgery. This must be taken into account when offering various surgical options. We present two patients who underwent robot-assisted laparoscopic radical prostatectomy (RALRP) after having previously undergone implantation of three-piece inflatable penile prostheses.

3-year actuarial biochemical recurrence-free survival following laparoscopic radical prostatectomy: experience from a tertiary referral center in the United States.

Purpose: We performed a prospective analysis of pathological and oncological outcomes following laparoscopic radical prostatectomy at a medical center in the United States.

Materials And Methods: A total of 528 men underwent laparoscopic radical prostatectomy between April 2001 and August 2005. We excluded 4 open surgical conversions (0.

Case report: endoscopic unroofing of symptomatic peripelvic simple renal cyst.

We report the ureteroscopic unroofing of a symptomatic peripelvic cyst with a holmium laser in a 37-year-old woman. At 1-year follow-up, the patient remains symptom free. Endoscopic management of peripelvic cysts is durable and can be performed safely.

Pure laparoscopic radical nephrectomy with level II vena caval thrombectomy.

Continued experience with the laparoscopic technique has allowed for controlled resection of renal neoplasms invading the renal vein and inferior vena cava. We present the case of a patient with a primary renal tumor extending into the vena cava that was completely managed with a laparoscopic approach.

Percutaneous computerized tomography guided renal cryoablation using local anesthesia: pain assessment.

Purpose: The administration of intravenous sedation during prone computerized tomography guided, percutaneous procedures has the potential for complications. We assessed the pain associated with computerized tomography guided, percutaneous renal cryoablation using straight local anesthesia.

Materials And Methods: Patients were treated with cryoablation probes inserted into the renal tumor under computerized tomography guidance with local anesthesia.

Hemothorax after percutaneous cryoablation of the kidney.

Pleural effusions have not been reported after percutaneous cryoablation of the kidney. In our initial experience, we identified and treated two patients who had the complication of hemothorax after percutaneous cryoablation for renal malignancy. The occurrence of pleural effusions is frequently related to technical aspects of the procedure.

Phase II clinical trial of interactive MR imaging-guided interstitial radiofrequency thermal ablation of primary kidney tumors: initial experience.

Purpose: To perform a phase II clinical trial to evaluate efficacy and safety of interactive magnetic resonance (MR) imaging-guided radiofrequency (RF) interstitial thermal ablation (ITA) of primary renal tumors.

Materials And Methods: Ten male patients (age range, 25-83 years) with peripheral renal cell carcinoma and contraindications to surgery were treated with percutaneous RF ITA entirely guided and monitored with a 0.2-T MR imaging unit.