The impact of intra-operative cell salvage during open nephrectomy.

Objective: To assess the impact of intra-operative cell salvage on outcomes in open nephrectomy.

Methods: A retrospective cohort study was performed of all patients undergoing open nephrectomy for suspected malignancy from 1 October 2013 to 1 October 2017. Patients were grouped and compared based on whether they received intra-operative cell salvage (ICS).

Effectiveness and safety of inpatient versus extended venous thromboembolism (VTE) prophylaxis with heparin following major pelvic surgery for malignancy: protocol for a systematic review.

Background: Venous thromboembolism (VTE) is a common postoperative complication associated with significant morbidity and mortality. The use of prophylactic heparin postoperatively reduces this risk, and the use of extended duration prophylaxis is becoming increasingly common. Malignancy and pelvic surgery both independently further increase the risk of postoperative VTE and patients undergoing major pelvic surgery for malignancy are at particularly high risk of VTE.

Fournier's gangrene: not as lethal as previously thought? A case series.

Background: Fournier's gangrene (FG) is a necrotizing fasciitis involving the perineum, external genitalia or perianal area. A rare condition with a historically high mortality rate (20-40%), our objective was to provide an up to date mortality rate for patients treated with multimodal therapy in a tertiary referral centre.

Methods: A retrospective review of a prospective database of FG patients treated at our tertiary referral centre was conducted.

The impact of intra-operative cell salvage during open radical prostatectomy.

Background: To examine the effect of intra-operative cell salvage (ICS) in open radical prostatectomy.

Methods: In this retrospective cohort study, all patients undergoing open radical prostatectomy for malignancy at our institution between 10/04/2013 and 10/04/2017 were enrolled. Patients were grouped and compared based on whether they received ICS.

High-dose rate brachytherapy compared with open radical prostatectomy for the treatment of high-risk prostate cancer: 10 year biochemical freedom from relapse.

Objective: • To compare long-term biochemical control of high-risk prostate cancer in those men receiving high-dose rate brachytherapy (HDRB) and radical prostatectomy (RP).

Patients And Methods: • The 10-year biochemical freedom from relapse (BFR) was calculated for 243 patients who underwent either RP or combined therapy with HDRB + external beam radiotherapy + androgen deprivation between 1998 and 2000. •

Inclusion Criteria: clinical stage ≥ T2b, or Gleason sum ≥ 8, or PSA level of > 20 ng/mL.

Mini-photoselective vaporization of the prostate for difficult intermittent self-catheterization.

Bladder neck incision or transurethral incision of the prostate is a procedure described for men with bladder outflow obstruction associated with a gland size of less than 30 ml. We report a case of a man with detrusor dysfunction who was having increasing difficulty performing clean intermittent self-catheterization of the bladder. The successful use of the 120 W lithium triborate laser to perform a "mini-photoselective vaporization of the prostate" ("mini-PVP") enabled discharge of the patient on the same day as well as resolution of the patient's difficulties in performing self-catheterization.

Location and pathological characteristics of cancers in radical prostatectomy specimens identified by transperineal biopsy compared to transrectal biopsy.

Purpose: Anterior tumors are estimated to constitute 20% of prostate cancers. Current data indicate that transperineal biopsy is more reliable than transrectal biopsy in identifying these tumors. If correct, this superior reliability should result in an increased proportion of anterior tumors identified by transperineal biopsy.

Acute management of priapism in men.

Unlabelled: What's known on the subject? and What does the study add? Priapism is a rare event. However, various medications and medical conditions may increase the risk. Priapism can be ischaemic, non-ischaemic or stuttering.

Urolithiasis--medical therapies.

Unlabelled: This review paper provides a summary of medical therapies available for urolithiasis. The summary includes general medical advice, prophylactic medications, dissolution therapy and medical expulsion therapy. The paper is designed to provide a management strategy for all physicians who treat urolithiasis, from general practitioners, to emergency physicians, to urologists.

Photoselective vaporization of the prostate in men taking clopidogrel.

Aim: To evaluate the peri-operative morbidity of men taking clopidogrel who underwent photoselective vaporisation of the prostate (PVP).

Patients And Methods: A prospective database was collected. Between March 2005 and July 2010, 480 men underwent PVP.

Hydrodissection of neurovascular bundles during open radical prostatectomy improves postoperative potency.

Purpose: Preservation of the neurovascular bundle during radical prostatectomy is important for postoperative erectile function. We determined whether hydrodissection of the neurovascular bundle during radical prostatectomy would result in improved erectile function postoperatively.

Materials And Methods: Included in the study were 253 consecutive men who underwent nerve sparing radical prostatectomy, as done by 1 high volume surgeon (MIP).