Is it the End for Urologic Pelvic Laparoscopic Surgery?

Aim: To scrutinize the rapid development of robotic versus traditional laparoscopic technique in pelvic urologic surgery.

Introduction: In the last few decades, advances in research and development have led to tremendous progress in medical diagnostics and treatment of disease. Minimally invasive surgery has moved from experimental to becoming the dominant form of surgical management across the surgical specialties.

Impact of type 2 diabetes mellitus on quality of life in people with diabetespresenting to a specialist diabetes clinic.

Background/aim: Quality of life is an important health-related factor that has an impact on all health interventions. The aim of the study was to assess psychosocial outcomes in people with diabetes.

Materials And Methods: A total of 142 people with type 2 diabetes were recruited from a specialist diabetes center.

Forming a stone in pelviureteric junction obstruction: Cause or effect?

Objectives: To investigate a possible causal relationship for stone formation in pelviureteric junction obstruction and to outline management options.

Materials And Methods: A literature search and evidence synthesis was conducted via electronic databases in the English language using the key words pelviureteric junction obstruction; urolithiasis; hyperoxaluria; laparoscopic pyeloplasty; flexible nephroscopy; percutaneous nephrolithotomy, alone or in combination. Relevant articles were analysed to extract conclusions.

Pattern of physical activity among persons with type 2 diabetes with special consideration to daily routine.

Objective: Physical activity is essential in maintaining a healthy lifestyle. Physical activity can improve general health, quality of life and diabetes management. The aim and objective of the study was to assess the physical activity trends in daily routine of people with type 2 diabetes.

Fulminant hepatic failure (FHF) due to acute hepatitis C.

Acute hepatitis C (HCV) infection has been identified as an important cause of fulminant hepatic failure (FHF), characterized by rapid deterioration of liver function from massive hepatic necrosis leading to encephalopathy and multi-organ failure. We admitted a female patient at Shalamar Hospital with jaundice, fever, encephalopathy and coagulopathy of short duration with no history of any comorbidity. Her hepatitis viral screen revealed positive anti HCV.

Charcot osteoarthropathy in type 2 diabetes persons presenting to specialist diabetes clinic at a tertiary care hospital.

Background: Charcot osteoarthropathy or charcot foot is a rare, chronic, non-communicable condition of bones and joints which may results into severe deformity and more prone to develop ulcers possibly leading to amputation. The purpose of this study was to determine the prevalence of Charcot osteoarthropathy and its association with age, BMI, gender, duration of diabetes, HBA1c and peripheral neuropathy.

Methods: A total of 1931 subjects with type 2 diabetes having mean age 50.

Calcification of the vas deferens and seminal vesicles: a review.

Introduction: Calcification of the vas deferens and seminal vesicles is a rare condition of unknown incidence. It has been described in association with diabetes, hyperparathyroidism and genitourinary tuberculosis, amongst other conditions. Little is known about the clinical significance and management of this condition.

Would You Want to Be the Patient? "Live Surgical Broadcast" or "As-Live Unedited Surgical Broadcast".

Objective: To evaluate patient safety, educational value, and ethical issues surrounding "Live surgical broadcast" (LSB) and "As-live surgical broadcast" (ALB) using data obtained from urologic delegates attending two recent endourology meetings in the United Kingdom.

Subjects And Methods: Two hundred twelve delegates at the UK section meeting of the Société Internationale d'Urologie (SIU) were invited to complete an online survey using SurveyMonkey(®) to compare their previous perceptions of LSB and ALB, and to compare their current experience of ALB to previous experience of LSB. One hundred three delegates at the British Association of Urological Surgeons (BAUS) Endourology meeting used live voting keypads to compare their experience of LSB and ALB simultaneously, as well as comparing their current experience of ALB to previous experience of LSB.

Laparoscopic varicocelectomy in the management of chronic scrotal pain.

Background And Objectives: To evaluate the usefulness of laparoscopic varicocelectomy in the management of chronic scrotal pain.

Methods: Between 2009 and 2011, 48 patients in total were treated with laparoscopic varicocelectomy for dull scrotal pain that worsened with physical activity and was attributed to varicoceles. All patients were followed up at 3 and 6 months and biannually thereafter with a physical examination, visual analog scale score, and ultrasonographic scan in selected cases.

How to conduct a successful workshop: The trainees' perspective.

Objectives: To define the success of a medical workshop from the trainees' perspective, where a medical workshop is a scientific event with the aim of presenting updated knowledge and to teach medical skills to the participants. In surgical specialties, it contributes to the development and maintenance of surgical skills.

Methods: Medline was searched for the previous 4 months to identify articles with combinations of the keywords 'workshops', 'training', 'simulators', and 'virtual reality'.

Hyoscine N-butylbromide (Buscopan®) in the treatment of acute ureteral colic: what is the evidence?

Objective: To investigate the evidence for the use of hyoscine N-butylbromide (HBB) in the treatment of acute renal colic.

Methods: A literature search was performed using the keywords 'hyoscine N-butylbromide', 'ureteral colic', 'spasmolytic', 'anticholinergic' and 'analgesia'. The articles were given the appropriate level of evidence according to the Oxford Centre for Evidence-Based Medicine Levels of Evidence guidelines.

Thromboprophylaxis and bleeding diathesis in minimally invasive stone surgery.

With populations ageing and active treatment of urinary stones increasingly in demand, more patients with stones are presenting with an underlying bleeding disorder or need for regular thromboprophylaxis, by means of antiplatelet and other medication. A practical guide to thromboprophylaxis in the treatment of urinary tract lithiasis has not yet been established. Patients can be stratified according to levels of risk of arterial and venous thromboembolism, which influence the requirements for antiplatelet and anticoagulant medications, respectively.

Current status of minimally invasive endoscopic management of ureteric strictures.

Endourological techniques are used more often nowadays in the treatment of ureteric strictures of various etiologies. Advances in technology have provided new tools to the armamentarium of the endoscopic urological surgeon. Numerous studies exist that investigate the efficiency and safety of each of the therapeutic modalities available.

A self-expanding thermolabile nitinol stent as a minimally invasive treatment alternative for ureteral strictures in renal transplant patients.

Background And Purpose: Ureteral obstruction in renal transplant allografts secondary to strictures can pose a challenging problem. Its incidence is reported between 0.5% and 4.

The use of a thermoexpandable metal alloy stent in the minimally invasive management of retroperitoneal fibrosis: a single center experience from the United kingdom.

Purpose: To review our experience with and the effectiveness of the ureteral Memokath 051 metallic stent for the minimally invasive management of retroperitoneal fibrosis (RPF).

Patients And Methods: We retrospectively reviewed the records of patients with RPF who were treated between April 2008 and February 2013. Success was defined as improvement of renal function and lack of complications after stent placement.

The current role of percutaneous chemolysis in the management of urolithiasis: review and results.

The treatment of urolithiasis has changed dramatically over the past several decades. Novel technologies have led to new management protocols. Percutaneous chemolysis as a primary or adjuvant treatment for urinary tract stones has widely been neglected.

Improving the durability of digital flexible ureteroscopes.

Objective: To present the damage to digital flexible ureteroscopes after 1 year of use in a tertiary stone center and our strategy to reduce the damage.

Materials And Methods: Data regarding all procedures performed with 3 new digital flexible ureteroscopes (Olympus URF-V) were collected. We examined the conditions under which the damage occurred and retrieved the manufacturer's repair reports.

Positions for percutaneous nephrolithotomy: Thirty-five years of evolution.

Objectives: To present the chronological development of the different positions described for percutaneous nephrolithotomy (PCNL), in an attempt to identify the reasons for their development and to highlight their specific advantages and disadvantages.

Methods: Previous reports were identified by a non-systematic search of Medline and Scopus.

Results: The classic prone position for PCNL was first described in 1976.

Supine percutaneous nephrolithotomy (PCNL): 'in vogue' but in which position?

Unlabelled: Study Type--Therapy (case series) Level of Evidence 4. What's known on the subject? and What does the study add? Supine percutaneous nephrolithotomy (PCNL) has been described for over a decade and has equivalent success rates when compared with the more widely used prone position. The supine position offers a shorter operative duration with better access to the airway for the anaesthetist and also allows for simultaneous retrograde intra-renal surgery (RIRS).