Publications by authors named "Julien Riviere"
In the era of robotic prostate surgery, various techniques have been developed to improve functional outcomes. Urinary continence has shown satisfactory results, but the preservation of lateral nerves to the periprostatic capsule is only achievable by sparing the pubovesical complex. This study aims to present the first cases of lateral-approach robot-assisted radical prostatectomy (LRRP) performed by a novice surgeon.
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- The study investigates the effectiveness of robot-assisted pudendal nerve release (RPNR) for treating chronic pelvic pain due to pudendal nerve entrapment (PNE) in 32 patients from January 2016 to July 2021.
- The surgical technique involves identifying specific anatomical landmarks and progressively dissecting tissue to relieve pressure on the pudendal nerve.
- Results show significant pain reduction at 3 and 6 months post-surgery, suggesting that timely intervention can improve outcomes, with a median symptom duration of 7 years prior to surgery and minimal complications.*
Article Synopsis
- - The study aimed to assess the accuracy of a second FDG-PET/CT scan in evaluating patients with localized muscle-invasive bladder cancer after receiving neoadjuvant chemotherapy before radical cystectomy.
- - A total of 62 patients were reviewed, and after exclusions, 45 patients were analyzed, with FDG-PET/CT showing a sensitivity of over 95% but lower specificity in identifying complete responders and residual disease compared to histopathology.
- - The findings indicate that FDG-PET/CT can effectively identify patients who may need alternative treatment avenues if they do not respond completely to chemotherapy.
Objectives: Radical prostatectomy (RP) remains a standard for localized prostate cancer treatment. The objective of this study is to present this operating technique of the robot-assisted radical prostatectomy (PR-RA) and to evaluate oncological and functional results as well as on the surgical safety.
Methods: A first series of 1679 patients consecutively operated in our institution with this technique from 2005 to 2010 and with a 5-year follow-up evaluated in 2014.
Background: Radiotherapy is a treatment option in the case of local failure following treatment for localised prostate cancer with high-intensity focussed ultrasound (HIFU).
Objective: Our aim was to evaluate tolerance and oncologic control with salvage radiotherapy (SRT) after HIFU failure and to identify predictive factors of success.
Design, Setting, And Participants: From March 1995 to March 2008, all patients who presented with histologically proven persistent local disease following HIFU and were treated with curative intent SRT (with or without hormonal treatment) were included in this single-centre retrospective study.