A single institute's experience in retroperitoneal laparoscopic dismembered pyeloplasty: results with 86 consecutive patients.

Purpose: To report our institute's retroperitoneal technique of laparoscopic pyeloplasty (LP) and present results of 86 consecutive patients.

Patients And Methods: From January 2004 to January 2009, 86 patients who were affected with ureteropelvic junction obstruction (UPJO) underwent retroperitoneal LP. In all operations, a four-port, balloon-dissecting, retroperitoneal approach was used and a simple "personalized" modification of the conventional Anderson-Hynes technique consisting of an approaching and stabilizing stitch made between the renal pelvis and proximal ureter.

Laparoscopic extraperitoneal radical prostatectomy--learning curve of a laparoscopy-naive urologist in a community hospital.

Objectives: To describe the training approach that a laparoscopy-naive general urologist working in a nonteaching hospital used to successfully learn to perform laparoscopic extraperitoneal radical prostatectomy and describe the results obtained in the first 114 cases performed.

Methods: The urologist assisted an experienced laparoscopic surgeon for 20 extraperitoneal radical prostatectomies. During this time, he modified his technique of performing open radical retropubic prostatectomy to facilitate the acquisition of the laparoscopic techniques.

[Comparison of orthotopic neobladders: Studer vs modified Camey II].

A comparative study between modified Camey II and Studer ileal orthotopic neobladder was performed. The Camey II was modified as follows: 1) The ureters were implanted, using wallace technique, in an undetubularized ileal loop, 15-18 cm. long, to prevent vesico-ureteral reflux; 2) The neobladder was made using staplers.

Case report: uneventful treatment of a giant prostate.

Objective: Redefine the meaning of the old term "giant adenoma" and evaluate the diagnosis and safest method of treatment of such cases.

Method: The world literature was reviewed, particularly concerning diagnostic approaches and therapeutic techniques.

Results: The open surgery technique appears to be the safest in the treatment of giant adenoma.