Publications by authors named "D P McNicholas"
Introduction: Male urethral stricture affects 100 in 100,000 men. These are investigated using uroflowmetry, retrograde urethrography and cystourethroscopy. Management is usually endoscopic with urethral dilation or direct visual internal urethrotomy, although they have high failure rates.
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- - Cystectomy is the preferred treatment for muscle-invasive bladder cancer, with robotic cystectomy gaining popularity due to benefits like quicker recovery, less blood loss, and reduced pain.
- - The study reviewed the incidence of uretero-enteric strictures (UES) in different cystectomy techniques (open, robotic with extracorporeal diversion, and robotic with intracorporeal diversion) and found open surgery had the lowest stricture rate (9.6%).
- - While robotic techniques showed higher UES rates, they may involve a learning curve, prompting a need for further research and Randomized Control Trials (RCTs) to compare the effectiveness and safety of surgical options.
Introduction: It is challenging to perform prostate biopsy in men with suspicion of prostate malignancy without a rectum to facilitate prostate biopsy. Nevertheless, such patients are presenting at an earlier stage, due to increased PSA testing in association with improved MRI imaging. We describe a novel technique for prostate biopsy in two such cases.
View Article and Find Full Text PDFUnlabelled: Reducing emergency room (ER) use may indicate the improved quality of patient care at index hospitalization. The aim of this study is to determine whether the use of near-infrared fluorescence (NIRF) imaging with indocyanine green (ICG) during coronary artery bypass grafting (CABG) surgery is associated with a lowered 90-day all-cause ER use.
Materials And Methods: This retrospective cohort study included adult patients with inpatient hospitalizations between January 2016 and June 2020 for an isolated CABG procedure at a US hospital.
Background: The purpose of this study is to assess which minimally invasive colon surgery approach may be associated with the least 30- and 90-day inpatient readmission costs from a payer perspective.
Methods: This retrospective claims analysis included adult Medicare and commercially insured beneficiaries who underwent minimally invasive sigmoid, left, or right colon surgery between January 2016 and December 2019. Two cohorts were created based on the use of near-infrared fluorescence (NIF) and were propensity-score matched 1 NIF:5 NoNIF.