Management of Urological Malignancy in Heart and Lung Transplant Recipients: An Irish National Cohort Study.

Objectives: Following the first hearttransplantin Ireland in 1985, there have been almost 700 deceased donor heart and lung transplants carried out in Ireland at a single institution. In this retrospective study, our aim was to assess the incidence and management of urological malignancies arising in this national cohort.

Materials And Methods: Our retrospective analysis included all heart and lung transplant recipients identified as having a urological malignancy.

Ipsilateral robot assisted laparoscopic side to side ureteroureterostomy in a duplex collecting system - A video case report with 1 year follow up.

A 26-year-old male presented with an obstructing calculus in the mid superior-moiety ureter in a duplicated urinary collecting-system. A sequela of the obstruction resulted in a symptomatic stricture in a functional superior-moiety ureter, unresponsive to endoscopic interventions. An ipsilateral robot-assisted laparoscopic side-to-side ureteroureterostomy was performed thus bypassing the stricture in the superior-moiety ureter.

A qualitative exploration of speech-language pathologists' intervention and intensity provision for children with phonological impairment.

Purpose: The aim of this study was to explore the reasons behind speech-language pathologists' (SLPs') current clinical practices (intervention and intensity provision) for children (0-18 years) with phonological impairment.

Method: Three focus groups each with five SLPs and six 1:1 interviews with SLP managers from one region of the UK ( = 21) were carried out. A thematic analysis was undertaken.

Iatrogenic Bowel Injury at Exchange of Supra-Pubic Catheter.

Suprapubic catheter insertion and exchange is a common urological procedure, but it is not without risks and complications. While bowel perforation is a recognised complication at suprapubic catheter insertion, it is not commonly reported at suprapubic catheter exchange. We report our experience of recognition, diagnosis and subsequent successful management of the most important complication related to suprapubic catheters.

Intervention for children with phonological impairment: Knowledge, practices and intervention intensity in the UK.

Background: Across the world, research has shown that intervention for children with phonological impairment can be both effective and efficient. However, it has also raised concerns about the translation of this evidence to practice, highlighting questions around clinician knowledge and the understanding of approaches, and the intensity of intervention provided within real-life clinical contexts.

Aims: To investigate the clinical management of phonological impairment by speech and language therapists (SLTs) in the United Kingdom (UK).

The Hidden Burden of Outpatient Repeat PSA Testing in a Prospective Cohort.

PSA testing is widespread throughout Europe for diagnostic purposes and follow up. We performed a prospective outpatient cohort study of 250 men (2013-2015) in two hospital sites. Included were those men being followed up by urology with PSA blood testing.

ICUD-EAU International Consultation on Bladder Cancer 2012: Screening, diagnosis, and molecular markers.

Context And Objective: To present a summary of the 2nd International Consultation on Bladder Cancer recommendations on the screening, diagnosis, and markers of bladder cancer using an evidence-based strategy.

Evidence Acquisition: A detailed Medline analysis was performed for original articles addressing bladder cancer with regard to screening, diagnosis, markers, and pathology. Proceedings from the last 5 yr of major conferences were also searched.

Standard versus tubeless percutaneous nephrolithotomy: a systematic review.

Objective: This article systematically analyses comparative studies to evaluate the efficacy and safety of tubeless percutaneous nephrolithotomy (PCNL) versus standard PCNL.

Methods: The Medline, EMBASE, PsycINFO, Cochrane and DARE databases were searched from 1997 to February 2011. Comparative studies evaluating outcomes from standard versus tubeless PCNL were included.

The Guy's stone score--grading the complexity of percutaneous nephrolithotomy procedures.

Objectives: To report the development and validation of a scoring system, the Guy's stone score, to grade the complexity of percutaneous nephrolithotomy (PCNL). Currently, no standardized method is available to predict the stone-free rate after PCNL.

Methods: The Guy's stone score was developed through a combination of expert opinion, published data review, and iterative testing.

Emergency shock wave lithotripsy for ureteric stones.

Purpose Of Review: Extracorporeal shock wave lithotripsy has been used for over 2 decades, but its application in the acute setting remains under review. With continuing refinements to the technology, it is timely to review its efficacy in the emergency setting.

Recent Findings: The procedure has an overall low morbidity and is generally well tolerated.

Functional outcomes following percutaneous surgery in the solitary kidney.

Purpose: We assessed the impact of percutaneous renal surgery on renal function based on the modification of diet in renal disease estimated glomerular filtration rate in solitary renal units. We also determined the variables predictive of functional improvement or impairment following percutaneous surgery in solitary kidneys.

Materials And Methods: A prospective database was augmented by retrospective chart review.

Laparoscopic partial nephrectomy for tumour in the presence of nephrolithiasis or pelvi-ureteric junction obstruction.

Objective: To report on patients with a small renal mass and concomitant calculus or pelvi-ureteric junction obstruction (PUJO), and to propose an algorithm for minimally invasive management when these conditions coexist, as the success of laparoscopic partial nephrectomy (LPN) depends greatly on the absence after surgery of ureteric obstruction.

Patients And Methods: Fifteen (3%) of 548 patients undergoing LPN (November 1999 to May 2005) had concomitant calculus/PUJO; the calculus/PUJO was treated in six, either before (one), during (three) or after (two) LPN, depending on the presence of obstruction. The remaining nine patients were monitored as they had a punctate and unobstructing stone burden.

Is retroperitoneal approach feasible for robotic dismembered pyeloplasty: initial experience and long-term results.

Objectives: To present our initial series of robotic-assisted retroperitoneal dismembered pyeloplasty in adults patients using the da Vinci Surgical System (Intuitive Surgical, Inc., Sunnyvale, CA).

Methods: Ten adult patients with unilateral ureteropelvic junction (UPJ) obstruction underwent robotic-assisted retroperitoneoscopic Anderson-Hynes dismembered pyeloplasty between February 2004 and March 2005.

Robotic renal surgery.

Robotic surgery is being increasingly used for prostatectomy. Its use in renal surgery has been limited by a perception that it does not offer any extra benefit. This article explores the use of robot assistance in renal surgery.

Surgical salvage of renal cell carcinoma recurrence after thermal ablative therapy.

Purpose: Thermal ablative therapies, including cryoablation and radio frequency ablation, have become viable options for the management of small renal tumors. However, initial data have suggested higher local recurrence rates for ablation compared to partial nephrectomy. We evaluated options for salvage of ipsilateral tumor recurrence after previous ablation.

Immunological aspects of minimally invasive oncologic surgery.

Purpose Of Review: In the last few decades minimally invasive surgery has evolved to complement more traditional open surgical approaches. Pioneers of laparoscopic surgery have continually striven to replicate open surgical techniques with a view to maintaining equivalent surgical outcomes with the added benefits of shorter hospital stays, earlier return to full activity and fewer long-term wound complications. Having established the safety and feasibility of minimally invasive surgery, the focus moved to assuring such surgeries had equivalence in terms of oncological outcomes.

Ureteroscopic versus percutaneous treatment for medium-size (1-2-cm) renal calculi.

Purpose: To compare the outcomes of percutaneous nephrolithotomy (PCNL) and ureterorenoscopy (URS) for 1- to 2-cm renal calculi with specific reference to the stone clearance rate and morbidity.

Patients And Methods: The records of 27 patients who underwent either PCNL (N = 15) or URS (N = 12) by standard techniques over an 8-month period for renal calculi between 1 and 2 cm were reviewed retrospectively. Demographic, intraoperative, and postoperative data were accrued and compared to identify any statistically significant differences.

Correlation of radiographic imaging and histopathology following cryoablation and radio frequency ablation for renal tumors.

Purpose: Followup after radio frequency ablation and cryotherapy for small renal lesions lacks pathological analysis. The definition of successful tumor ablation has been the absence of contrast enhancement on posttreatment magnetic resonance imaging or computerized tomography. We hypothesized that adding post-ablation kidney biopsy would help confirm treatment success.