Optimizing Outcomes in Urological Surgery: Preoperative Care.

Purpose: Understanding best practices in preoperative care is critical for quality of care for our urology patients. We compiled a concise resource that provides recommendations for optimizing preoperative outcomes for patients undergoing urological surgery.

Materials And Methods: Urological preoperative care was defined as medical evaluation or treatment received in preparation for surgery or a procedure.

Molecular Profiling to Determine Clonality of Serial Magnetic Resonance Imaging/Ultrasound Fusion Biopsies from Men on Active Surveillance for Low-Risk Prostate Cancer.

To determine whether MRI/ultrasound (MRI/US) fusion biopsy facilitates longitudinal resampling of the same clonal focus of prostate cancer and to determine whether high-grade cancers can evolve from low-grade clones. All men on active surveillance who underwent tracking MRI/US fusion biopsy of Gleason 6 prostate cancer, on at least two distinct occasions, between 2012 and 2014 were enrolled. MRI/US fusion was used to track and resample specific cancer foci.

A Generalized Assessment of the Impact of Regionalization and Provider Learning on Patient Outcomes.

We present a generalized model to assess the impact of regionalization on patient care outcomes in the presence of heterogeneity in provider learning. The model characterizes best regionalization policies as optimal allocations of patients across providers with heterogeneous learning abilities. We explore issues that arise when solving for best regionalization, which depends on statistically estimated provider learning curves.

Matched comparison of robotic-assisted and open radical cystectomy.

Objective: To evaluate our initial robotic-assisted radical cystectomy (RARC) experience compared with a robust open radical cystectomy (ORC) series performed at a single institution using a matched-pair analysis. Although early results suggest that RARC is safe, with favorable perioperative and early oncologic outcomes, limited data exist comparing ORC and RARC.

Methods: RARC and ORC patients were identified through a prospectively maintained institutional review board-approved bladder cancer database.

Quality of life outcomes following treatment for localized prostate cancer: is there a clear winner?

Purpose Of Review: The majority of men treated for localized prostate cancer are cured of their disease. As a result, it is important to discuss long-term quality of life (QoL) expectations when counseling patients regarding treatment options. The varying QoL outcomes for radical prostatectomy, external beam radiotherapy, brachytherapy, and cryotherapy will be reviewed.

200 consecutive hand assisted laparoscopic donor nephrectomies: evolution of operative technique and outcomes.

Purpose: Despite the popularity of hand assisted laparoscopic donor nephrectomy published experience is less than that with standard laparoscopic donor nephrectomy and few critical assessments of operative maneuvers have been described.

Materials And Methods: We describe the impact of changes in operative technique made by a single surgeon during 200 hand assisted laparoscopic donor nephrectomies.

Results: With a mean operative time of 229 minutes and hospital stay of 1.