Peritoneal Distraction Technique to Reduce Symptomatic Lymphoceles after Retzius-Sparing Robot-Assisted Radical Prostatectomy.

Background: In Retzius-sparing robot-assisted radical prostatectomy (RARP), lymphocele formation is a troublesome complication. The use of peritoneal flaps has emerged as a promising novel technique to tackle this complication. We explored this technique by suturing both the medial peritoneal flaps to each other and keeping them distracted so that the lymphadenectomy beds are left wide open.

Negative predictive value of PSMA PET scan for lymph node staging in patients undergoing robotic radical prostatectomy and pelvic lymph node dissection.

Purpose: To assess the negative predictive value of PSMA PET scan for lymph node staging in patients undergoing robotic radical prostatectomy and pelvic lymph node dissection.

Materials And Methods: A retrospective analysis of patients who underwent robotic-assisted radical prostatectomy with pelvic lymph node dissection and had a preoperative negative PSMA PET scan for metastasis was performed. The documented pre-operative variables studied included age, BMI, PSA at diagnosis, Gleason score, and biopsy ISUP grades.

Robot-assisted laparoscopic radical nephrectomy and inferior vena cava thrombectomy: A multicentre Indian experience.

Objective: To assess feasibility of robot-assisted laparoscopic radical nephrectomy (RALRN) and inferior vena cava thrombectomy (IVCT) in treating renal tumours with level I-III IVC thrombi and to assess their outcomes.

Patients And Methods: We conducted a retrospective analysis of RALRN-IVCTs, involving four centres across India, from September 2015 to June 2019. We analysed patients who underwent RALRN-IVCT for level I-III thrombi according to the Mayo classification.

Robotic assisted kidney transplantation in grafts with multiple vessels: single center experience.

Introduction: The aim of this study was to assess the feasibility of robotic assisted kidney transplantation in graft with multiple vessels.

Materials And Methods: Eighteen patients underwent RAKT with grafts with multiple vessels (GMVs) from living donor performed by a single surgeon in single institution. The retrospective data obtained were compared to patients who underwent robotic assisted kidney transplant (RAKT) with single vessel and also open kidney transplant with GMVs.

Robotic excision of complex adrenal mass with retrocaval extension and encasement of renal hilum with renal preservation.

Objective: The purpose of this video is to present robotic excision of a complex adrenal mass with retrocaval extension and encasement of renal hilum in a 16 year old boy. Biochemical screening was negative for metabolically active component. Computerized tomographic scan with contrast revealed a homogenous mass of approximately 10.

Total extraperitoneal robot assisted laparoscopic renal transplant recipient surgery.

Introduction: Renal transplant recipient surgery is conventionally performed using open technique which is total extra-peritoneal in approach whereas robot assisted renal transplant recipient surgery is performed through a transperitoneal approach. We present a case where a total extraperitoneal robot assisted renal transplant recipient surgery was performed.

Materials And Methods: A 30 year old gentleman with Ig A nephropathy and diffuse glomerulosclerosis underwent total extra-peritoneal robot assisted renal transplant recipient surgery (TERT) with sister as donor.

Robotic-assisted renal transplantation with total extraperitonealization of the graft: experience of 34 cases.

The aim of the study is to elucidate the method of complete extraperitonealization of the graft while performing transperitoneal robotic renal transplant recipient operation. This is a retrospective study of 34 robotic-assisted kidney transplant (RAKT) utilizing our technique from July 2015 to June 2017. The study is performed in a quaternary private hospital setting.

Comparison between hand suture and Carter-Thomason needle closure of port sites in laparoscopy.

Purpose: To compare between hand closure and Carter-Thomason technique with respect to following parame­ters, time taken for port site closure, wound infection, wound dehiscence, seroma formation, port site herniation, and ascitic fluid leak.

Materials And Methods: In this study, 200 cases who underwent laparoscopic donor nephrectomy were selected and divided into two groups based on closure technique. First 100 cases underwent port closure by the standard hand closure technique and next 100 cases by Carter-Thomson needle technique.

Comparison between helical computed tomography angiography and intraoperative findings.

Background: Live donor nephrectomy has gained popularity on account of the laparoscopic technique, to overcome a small donor pool. Laparoscopic donor nephrectomy requires a precise study of the vascular and morphological renal anatomy, as laparoscopy is technically challenging due to the limited field of vision. In-depth knowledge of the renal anatomy before a laparoscopic procedure is essential for a successful transplant.

Comparison of three different techniques of extraction in laparoscopic donor nephrectomy.

Aim: We compare the outcome of three different methods of graft extraction after a laparoscopic donor nephrectomy.

Materials And Methods: AFTER A CONVENTIONAL FIVE PORT LAPAROSCOPIC DONOR NEPHRECTOMY, SPECIMEN WAS EXTRACTED THROUGH ONE OF THREE APPROACHES: 1. Iliac fossa (IF) incision and hand extraction, 2.

Total prostatectomy within 6 weeks of a prostate biopsy: is it safe?

Purpose: Many urologists recommend a six-week time interval between a prostate biopsy and a total prostatectomy (TP) to allow the biopsy induced inflammation to subside. Our aim was to assess whether the time interval between prostate biopsy and TP has an impact on the surgical outcome.

Materials And Methods: A retrospective analysis was performed on data from patients who underwent a TP by a single surgeon from 1992 to 2008.

"Complete transurethral resection of bladder tumor": are the guidelines being followed?

Objectives: To determine how often complete eradication of all visible tumors during transurethral resection of bladder tumor (TURBT) is accomplished in a referral setting. The American Urological Association guidelines recommend complete eradication whenever possible.

Methods: We retrospectively reviewed the records of patients who underwent a second TURBT within 4 weeks of being referred to us.

Is the incidence of uretero-intestinal anastomotic stricture increased in patients undergoing radical cystectomy with previous pelvic radiation?

Study Type: Therapy (case series).

Level Of Evidence: 4.

Objective: To present our long-term experience comparing uretero-intestinal anastomotic (UIA) stricture rates after radical cystectomy (RC) in patients with and without previous pelvic radiotherapy (pRT), as the risk of stricture is thought to be higher in patients undergoing RC and urinary diversion (UD) with a history of pRT.

Task deconstruction facilitates acquisition of transurethral resection of prostate skills on a virtual reality trainer.

Aim: To determine whether task deconstruction is superior to full-task training for the acquisition of transurethral resection skills on a transurethral resection of prostate (TURP) virtual reality trainer previously validated for use in residency training.

Methods: Eighteen first- and second-year medical students with no previous exposure to TURP in the operating room participated in the study. The subjects were randomized to two treatment arms: full-task TURP training versus task deconstruction training.

Selective postoperative imaging after ureteroscopy.

Objectives: To evaluate the need of routine follow-up imaging after ureteroscopy.

Methods: We performed a retrospective chart review of patients undergoing ureteroscopy for urolithiasis. Selective imaging was performed in the initial postoperative phase (1-3 weeks after removal of the ureteral stent) if the procedure was classified as complicated because of the presence of an impacted stone, the need for balloon dilation, intraoperative ureteral perforation, or postoperative pain after stent removal.

Assessment of validity of an OSATS for cystoscopic and ureteroscopic cognitive and psychomotor skills.

Purpose: The purpose of the study was to assess the construct validity of an Objective Structured Assessment of Technical Skills (OSATS) developed for cystoscopic and ureteroscopic cognitive and psychomotor skills.

Materials And Methods: An OSATS was designed based on a 14-point comprehensive curriculum prepared by two experts that targeted both cognitive and psychomotor cystoscopic and ureteroscopic skills. Ten urology residents from a single institution with different levels of training were assessed on a series of stations that targeted these skills.

Colour Doppler ultrasonographic location of the bulbourethral artery, and its impact on surgical outcome.

Objective: To assess the location of bulbourethral arteries in men with a 'normal' urethra and to study anatomical alterations in men with urethral stricture.

Patients And Methods: A linear-array transducer was used on the ventral surface of the penis to study the urethra. Fifteen men with a normal urethra and 15 with a stricture of the bulbar urethra were assessed.