Obstructive Urosepsis: Is It Possible to Personalize the Ureteral Endoscopic Treatment?

Introduction: Urinary tract infection involves mortality rate when combined with ureteral obstruction. Lithotripsy has been contraindicated; however, it has been shown to be safe in selected situations. No specific criteria have been widely accepted to indicate which patients are suitable for definitive treatment.

Modified biplanar (0-90°) endoscopic-guided puncture technique for percutaneous nephrolithtomy: refinement with endoscopic combined intrarrenal surgery to reduce fluoroscopy and operative time.

Introduction: We aim to publish our innovative modified biplanar 0-90 endoscopic guided puncture technique for percutaneous nephrolithotomy in supine recorded with a GoPro® camera for standardization of the technique. It solves drawbacks of the fluoroscopic technique, i.e.

Delayed Bleeding After Retrograde Intrarenal Surgery: A Rare Complication in Ectopic Pelvic Kidney.

Anatomical variations in the pelvic ectopic kidney (PEK) present many challenges to stone treatment. Retrograde intrarenal surgery (RIRS) has emerged as the treatment of choice for small to medium stones. We present a case of delayed hemorrhage due to an arteriocaliceal fistula.

Urinary lithiasis - conventional open surgery.

The Guidelines Project, an initiative of the Brazilian Medical Association, aims to combine information from the medical field in order to standardize producers to assist the reasoning and decision-making of doctors. The information provided through this project must be assessed and criticized by the physician responsible for the conduct that will be adopted, depending on the conditions and the clinical status of each patient.

Current scenario of endourological treatment of kidney stones in brazil: results of a national survey.

Objective: To elucidate the current scenario of endourology in Brazil for the treatment of urinary lithiasis, with an emphasis on regional differences and the reasons why certain techniques are still underutilized.

Materials And Methods: An electronic questionnaire was sent by email to the 4,745 members of the Brazilian Urological Society (BSU) in 2016 to collect information on the 3 main endourological procedures used in the treatment of nephrolithiasis: Semi-rigid ureteroscopy (URS), Flexible ureteroscopy (F-URS) and percutaneous nephrolithotripsy (PCNL).

Results: A total of 1,267 urologists answered the questionnaire.

Urinary lithiasis: evaluation of the use of laser vs. Pneumatic ureteral lithotripsy.

The Guidelines Project, an initiative of the Brazilian Medical Association, aims to combine information from the medical field in order to standardize producers to assist the reasoning and decision-making of doctors. The information provided through this project must be assessed and criticized by the physician responsible for the conduct that will be adopted, depending on the conditions and the clinical status of each patient.

How are we protecting ourselves from radiation exposure? A nationwide survey.

Purpose: We performed a nationwide survey of Brazilian urologists to study behaviors toward radiation exposure and the use of protective and monitoring equipment.

Methods: A 13-question e-mail questionnaire was sent to 4,526 Brazilian urologists; the questions addressed demographic characteristics, radiation exposure, and the utilization of shielding devices and dosimeters. The reasons why these devices were not used were also investigated.

Predictors of hemorrhage after laparoscopic partial nephrectomy.

Objectives: To identify risk factors associated with hemorrhage during laparoscopic partial nephrectomy (LPN), and to determine the impact of hemorrhage on hospital course.

Methods: We retrospectively analyzed prospective data from 335 LPNs to identify clinicopathologic factors associated with hemorrhagic complications (blood loss requiring ≥ 1 U transfusion) and extended length of hospitalization (≥ 3 days). We excluded patients with a coagulopathy or perioperative vascular injuries.

Pathologic findings in patients with ureteropelvic junction obstruction and crossing vessels.

Objectives: To define the role of crossing vessels in the pathophysiology of ureteropelvic junction (UPJ) obstruction, we analyzed the relationship between the presence of crossing vessels and UPJ pathologic findings in patients undergoing laparoscopic pyeloplasty. The significance of crossing renal vessels in patients with UPJ obstruction is unclear.

Methods: We performed a retrospective analysis of 155 consecutive patients undergoing laparoscopic pyeloplasty.

Ablation of bull prostate using novel bipolar radiofrequency ablation probe.

Purpose: We describe the use of a novel bipolar radiofrequency (RF) system for the destruction of prostate tissue in an ex vivo model.

Materials And Methods: A bipolar RF delivery system (Trod Medical, France) was linked to a 500 kHz generator. Eight lesions were created in an ex vivo bull prostate model using 7-mm (n = 4) and 10-mm probes (n = 4).

Prostate cryoablation: prospective analysis comparing high- and low-risk prostate cancer outcomes.

Aim: To evaluate percutaneous cryotherapy as a primary treatment option for prostate cancer, comparing different risk groups.

Patients And Methods: Forty-seven prostate cryoablation procedures were performed on 44 patients. Patients median age was 70.

Laparoscopic ureteroplasty using on-lay appendix graft.

Complex ureteral reconstruction has been performed with ileum, appendix, or other intestinal segments for the treatment of long ureteral strictures. In the past decade, challenging ureteral reconstruction has been approached using laparoscopic urology. We report the case of a 6-cm iatrogenic stricture after treatment of stone disease.

First Prize (tie): Hemorrhage following percutaneous renal surgery: characterization of angiographic findings.

Purpose: Percutaneous surgery is an established approach to a spectrum of renal pathology, and hemorrhage is the most concerning complication of this technique. We determined the frequency of postoperative hemorrhage requiring selective angioembolization (sae), the efficacy of this approach, and characterized the angiographic findings.

Methods: We reviewed our database of 4695 patients who underwent percutaneous renal surgery and identified patients requiring SAE for postoperative hemorrhage.

Laparoscopic partial nephrectomy for hilar tumors: evaluation of short-term oncologic outcome.

Objectives: To present our experience performing laparoscopic partial nephrectomy (LPN) for hilar renal tumors and demonstrate the feasibility and short-term oncologic efficacy.

Methods: The patients who had undergone LPN for excision of a hilar tumor, defined as a renal tumor that came in direct contact with the renal artery and/or vein, were identified. The clinicopathologic parameters, perioperative course, complications, and oncologic outcomes were analyzed.

Percutaneous prostate cryoablation as treatment for high-risk prostate cancer.

Purpose: To evaluate percutaneous cryotherapy as a primary treatment option for high-risk prostate cancer patients.

Patients And Methods: From October 2000 to February 2005, 21 high-risk (Gleason e.8 and/or PSA > 10 and/or stage > T2a) prostate cancer patients underwent 24 percutaneous prostate cryoablation procedures.